{"text_format":"1","workbook":"xlsx","n_sheets":7,"sheets":["TIPS","Tables","Employees & COBRA Enrollees","Waivers","Enrollment Summary","Enrollee Summary","ABS Extract"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":32,"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 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,"Medical Active",null,null,"Medical Cobra",null,null,"Cov Code","Medical Plan Name","Medical Plan Election","Chiro?","Infertility?","Chiro & INF?","RMC","OOS?","Extract","No Suffix","Group ID",null,"Cov Code","Dental/Vision Plan Name","Dental/Vision Plan Election","VOL?","EP?","Bundled?","RMC","Extract","No Suffix","Group ID"]
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[null,null,null,null,null,"PlanA","PlanB","PlanC","PlanD","PlanE",null,{"$f":"IF('Employees & COBRA Enrollees'!AC9=\"No\",'Employees & COBRA Enrollees'!A9&\" \"&'Employees & COBRA Enrollees'!B9,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC9=\"No\",'Employees & COBRA Enrollees'!S9,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC9=\"Yes\",'Employees & COBRA Enrollees'!A9&\" \"&'Employees & COBRA Enrollees'!B9,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC9=\"Yes\",'Employees & COBRA Enrollees'!S9,\"\")","v":""},null,"3A0X","Full Network HMO Platinum $10","","","","","D","No",{"$f":"_xlfn.XLOOKUP(R3,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2E7J","Dental - DPPO Essential 6 1500",{"$f":"IF(AM3=\"\",\"\",AE3)","v":""},null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD3,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},{"$f":"LEFT(AK3,5)","v":""},{"$f":"IF(AL3=\"\",\"\",AL3&\"A\")","v":""}]
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[null,"Code",null,"WholeCare HMO","PlanB","Platinum $10","Platinum $10","Platinum $10","Platinum $10","Platinum PPO 0/15",null,{"$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,"3A15","Full Network HMO Platinum $30","","","","","D","No",{"$f":"_xlfn.XLOOKUP(R5,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2E7L","Dental - DHMO HN Plus 150","",null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD5,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"",""]
[null,"Hourly",null,"SmartCare HMO","PlanC","Platinum $20","Platinum $20","Platinum $20","Platinum $20","Platinum PPO 250/15",null,{"$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,"3A18","Full Network HMO Platinum $35","","","","","D","No",{"$f":"_xlfn.XLOOKUP(R6,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2E7M","Dental - DHMO HN Plus 225","",null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD6,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"",""]
[null,"Salary",null,"Salud HMO y Mas","PlanD","Platinum $30","Platinum $30","Platinum $30","Platinum $30","Gold PPO 0/35",null,{"$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,"3A19","Full Network HMO Platinum $0","","Yes","","","D","No",{"$f":"_xlfn.XLOOKUP(R7,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2E7N","Dental - DPPO Essential 2 1000","","Yes",null,null,"Z",{"$f":"_xlfn.XLOOKUP(AD7,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"",""]
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[null,"Valid - Other group coverage through another employer",null,null,null,null,null,null,null,null,null,{"$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,"3A8E","WholeCare HMO Platinum $10","","","","","DW","No",{"$f":"_xlfn.XLOOKUP(R47,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLH","Vision - PPO Preferred 1025-2","","Yes",null,null,"Z",{"$f":"_xlfn.XLOOKUP(AD47,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q47=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C47=\"\",'Employees & COBRA Enrollees'!C47=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q47=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D47=\"\",'Employees & COBRA Enrollees'!D47=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO47=\"\",\"\",'Employees & COBRA Enrollees'!Q47)","v":""},{"$f":"IF(AO47=\"\",\"\",'Employees & COBRA Enrollees'!Q47)","v":""},{"$f":"IF(AO47=\"\",\"\",'Employees & COBRA Enrollees'!S47)","v":""},{"$f":"IF(AO47=\"\",\"\",IF(AS47<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR47=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO47=\"\",\"\",IF(AS47<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR47=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP47=\"\",\"\",IF(AS47<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR47=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP47=\"\",\"\",IF(AS47<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR47=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ47=\"\",\"\",'Employees & COBRA Enrollees'!AP47)","v":""},{"$f":"IF(BA47=\"\",\"\",IF(AS47=\"M - Member/Employee\",BA47,_xlfn.XLOOKUP(1,(AR47=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K47),\"\",IF(AND(Waivers!K47=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K47=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K47))))","v":""}]
[null,"Valid - Group coverage through a spouse/domestic partner on or off the Exchange",null,null,null,null,null,null,null,null,null,{"$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,"3A8F","WholeCare HMO Platinum $20","","","","","DW","No",{"$f":"_xlfn.XLOOKUP(R48,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLI","Vision - PPO Preferred 1025-3","",null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD48,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q48=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C48=\"\",'Employees & COBRA Enrollees'!C48=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q48=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D48=\"\",'Employees & COBRA Enrollees'!D48=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO48=\"\",\"\",'Employees & COBRA Enrollees'!Q48)","v":""},{"$f":"IF(AO48=\"\",\"\",'Employees & COBRA Enrollees'!Q48)","v":""},{"$f":"IF(AO48=\"\",\"\",'Employees & COBRA Enrollees'!S48)","v":""},{"$f":"IF(AO48=\"\",\"\",IF(AS48<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR48=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO48=\"\",\"\",IF(AS48<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR48=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP48=\"\",\"\",IF(AS48<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR48=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP48=\"\",\"\",IF(AS48<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR48=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ48=\"\",\"\",'Employees & COBRA Enrollees'!AP48)","v":""},{"$f":"IF(BA48=\"\",\"\",IF(AS48=\"M - Member/Employee\",BA48,_xlfn.XLOOKUP(1,(AR48=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K48),\"\",IF(AND(Waivers!K48=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K48=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K48))))","v":""}]
[null,"Valid - Spousal/domestic partner coverage through the same employer",null,null,null,null,null,null,null,null,null,{"$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,"3A8G","WholeCare HMO Platinum $30","","","","","DW","No",{"$f":"_xlfn.XLOOKUP(R49,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLJ","Vision - PPO Preferred 1025-3","","Yes",null,null,"Z",{"$f":"_xlfn.XLOOKUP(AD49,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q49=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C49=\"\",'Employees & COBRA Enrollees'!C49=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q49=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D49=\"\",'Employees & COBRA Enrollees'!D49=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO49=\"\",\"\",'Employees & COBRA Enrollees'!Q49)","v":""},{"$f":"IF(AO49=\"\",\"\",'Employees & COBRA Enrollees'!Q49)","v":""},{"$f":"IF(AO49=\"\",\"\",'Employees & COBRA Enrollees'!S49)","v":""},{"$f":"IF(AO49=\"\",\"\",IF(AS49<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR49=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO49=\"\",\"\",IF(AS49<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR49=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP49=\"\",\"\",IF(AS49<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR49=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP49=\"\",\"\",IF(AS49<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR49=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ49=\"\",\"\",'Employees & COBRA Enrollees'!AP49)","v":""},{"$f":"IF(BA49=\"\",\"\",IF(AS49=\"M - Member/Employee\",BA49,_xlfn.XLOOKUP(1,(AR49=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K49),\"\",IF(AND(Waivers!K49=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K49=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K49))))","v":""}]
[null,"Valid - Group coverage through a parents plan",null,null,null,null,null,null,null,null,null,{"$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,"3A8H","WholeCare HMO Platinum $35","","","","","DW","No",{"$f":"_xlfn.XLOOKUP(R50,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLK","Vision - PPO Preferred Value 10-3","",null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD50,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q50=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C50=\"\",'Employees & COBRA Enrollees'!C50=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q50=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D50=\"\",'Employees & COBRA Enrollees'!D50=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO50=\"\",\"\",'Employees & COBRA Enrollees'!Q50)","v":""},{"$f":"IF(AO50=\"\",\"\",'Employees & COBRA Enrollees'!Q50)","v":""},{"$f":"IF(AO50=\"\",\"\",'Employees & COBRA Enrollees'!S50)","v":""},{"$f":"IF(AO50=\"\",\"\",IF(AS50<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR50=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO50=\"\",\"\",IF(AS50<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR50=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP50=\"\",\"\",IF(AS50<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR50=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP50=\"\",\"\",IF(AS50<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR50=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ50=\"\",\"\",'Employees & COBRA Enrollees'!AP50)","v":""},{"$f":"IF(BA50=\"\",\"\",IF(AS50=\"M - Member/Employee\",BA50,_xlfn.XLOOKUP(1,(AR50=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K50),\"\",IF(AND(Waivers!K50=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K50=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K50))))","v":""}]
[null,"Valid - Medicare",null,null,null,null,null,null,null,null,null,{"$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,"3A8I","WholeCare HMO Platinum $0","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R51,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLL","Vision - PPO Preferred Value 10-3","","Yes",null,null,"Z",{"$f":"_xlfn.XLOOKUP(AD51,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q51=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C51=\"\",'Employees & COBRA Enrollees'!C51=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q51=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D51=\"\",'Employees & COBRA Enrollees'!D51=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO51=\"\",\"\",'Employees & COBRA Enrollees'!Q51)","v":""},{"$f":"IF(AO51=\"\",\"\",'Employees & COBRA Enrollees'!Q51)","v":""},{"$f":"IF(AO51=\"\",\"\",'Employees & COBRA Enrollees'!S51)","v":""},{"$f":"IF(AO51=\"\",\"\",IF(AS51<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR51=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO51=\"\",\"\",IF(AS51<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR51=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP51=\"\",\"\",IF(AS51<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR51=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP51=\"\",\"\",IF(AS51<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR51=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ51=\"\",\"\",'Employees & COBRA Enrollees'!AP51)","v":""},{"$f":"IF(BA51=\"\",\"\",IF(AS51=\"M - Member/Employee\",BA51,_xlfn.XLOOKUP(1,(AR51=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K51),\"\",IF(AND(Waivers!K51=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K51=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K51))))","v":""}]
[null,"Valid - Medi-Cal",null,null,null,null,null,null,null,null,null,{"$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,"3A8J","WholeCare HMO Platinum $10","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R52,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLM","Vision - PPO Supreme 010-2","",null,"Yes",null,"Z",{"$f":"_xlfn.XLOOKUP(AD52,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q52=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C52=\"\",'Employees & COBRA Enrollees'!C52=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q52=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D52=\"\",'Employees & COBRA Enrollees'!D52=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO52=\"\",\"\",'Employees & COBRA Enrollees'!Q52)","v":""},{"$f":"IF(AO52=\"\",\"\",'Employees & COBRA Enrollees'!Q52)","v":""},{"$f":"IF(AO52=\"\",\"\",'Employees & COBRA Enrollees'!S52)","v":""},{"$f":"IF(AO52=\"\",\"\",IF(AS52<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR52=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO52=\"\",\"\",IF(AS52<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR52=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP52=\"\",\"\",IF(AS52<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR52=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP52=\"\",\"\",IF(AS52<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR52=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ52=\"\",\"\",'Employees & COBRA Enrollees'!AP52)","v":""},{"$f":"IF(BA52=\"\",\"\",IF(AS52=\"M - Member/Employee\",BA52,_xlfn.XLOOKUP(1,(AR52=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K52),\"\",IF(AND(Waivers!K52=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K52=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K52))))","v":""}]
[null,"Valid - Medicaid",null,null,null,null,null,null,null,null,null,{"$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,"3A8K","WholeCare HMO Platinum $20","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R53,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"2ZLN","Vision - PPO Supreme 010-2","","Yes",null,null,"Z",{"$f":"_xlfn.XLOOKUP(AD53,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q53=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C53=\"\",'Employees & COBRA Enrollees'!C53=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q53=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D53=\"\",'Employees & COBRA Enrollees'!D53=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO53=\"\",\"\",'Employees & COBRA Enrollees'!Q53)","v":""},{"$f":"IF(AO53=\"\",\"\",'Employees & COBRA Enrollees'!Q53)","v":""},{"$f":"IF(AO53=\"\",\"\",'Employees & COBRA Enrollees'!S53)","v":""},{"$f":"IF(AO53=\"\",\"\",IF(AS53<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR53=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO53=\"\",\"\",IF(AS53<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR53=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP53=\"\",\"\",IF(AS53<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR53=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP53=\"\",\"\",IF(AS53<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR53=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ53=\"\",\"\",'Employees & COBRA Enrollees'!AP53)","v":""},{"$f":"IF(BA53=\"\",\"\",IF(AS53=\"M - Member/Employee\",BA53,_xlfn.XLOOKUP(1,(AR53=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K53),\"\",IF(AND(Waivers!K53=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K53=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K53))))","v":""}]
[null,"Valid - COBRA",null,null,null,null,null,null,null,null,null,{"$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,"3A8L","WholeCare HMO Platinum $30","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R54,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"320A","Vision - PPO Preferred 1025-3","",null,null,"Yes","Z",{"$f":"_xlfn.XLOOKUP(AD54,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q54=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C54=\"\",'Employees & COBRA Enrollees'!C54=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q54=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D54=\"\",'Employees & COBRA Enrollees'!D54=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO54=\"\",\"\",'Employees & COBRA Enrollees'!Q54)","v":""},{"$f":"IF(AO54=\"\",\"\",'Employees & COBRA Enrollees'!Q54)","v":""},{"$f":"IF(AO54=\"\",\"\",'Employees & COBRA Enrollees'!S54)","v":""},{"$f":"IF(AO54=\"\",\"\",IF(AS54<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR54=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO54=\"\",\"\",IF(AS54<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR54=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP54=\"\",\"\",IF(AS54<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR54=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP54=\"\",\"\",IF(AS54<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR54=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ54=\"\",\"\",'Employees & COBRA Enrollees'!AP54)","v":""},{"$f":"IF(BA54=\"\",\"\",IF(AS54=\"M - Member/Employee\",BA54,_xlfn.XLOOKUP(1,(AR54=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K54),\"\",IF(AND(Waivers!K54=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K54=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K54))))","v":""}]
[null,"Valid - Union employee covered through a labor fund",null,null,null,null,null,null,null,null,null,{"$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,"3A8M","WholeCare HMO Platinum $35","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R55,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"320B","Vision - PPO Supreme 010-2","",null,null,"Yes","Z",{"$f":"_xlfn.XLOOKUP(AD55,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q55=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C55=\"\",'Employees & COBRA Enrollees'!C55=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q55=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D55=\"\",'Employees & COBRA Enrollees'!D55=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO55=\"\",\"\",'Employees & COBRA Enrollees'!Q55)","v":""},{"$f":"IF(AO55=\"\",\"\",'Employees & COBRA Enrollees'!Q55)","v":""},{"$f":"IF(AO55=\"\",\"\",'Employees & COBRA Enrollees'!S55)","v":""},{"$f":"IF(AO55=\"\",\"\",IF(AS55<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR55=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO55=\"\",\"\",IF(AS55<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR55=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP55=\"\",\"\",IF(AS55<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR55=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP55=\"\",\"\",IF(AS55<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR55=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ55=\"\",\"\",'Employees & COBRA Enrollees'!AP55)","v":""},{"$f":"IF(BA55=\"\",\"\",IF(AS55=\"M - Member/Employee\",BA55,_xlfn.XLOOKUP(1,(AR55=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K55),\"\",IF(AND(Waivers!K55=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K55=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K55))))","v":""}]
[null,"Valid - Tricare",null,null,null,null,null,null,null,null,null,{"$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,"3A8N","WholeCare HMO Platinum $0","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R56,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"320C","Vision - PPO Preferred Value 10-3","",null,null,"Yes","Z",{"$f":"_xlfn.XLOOKUP(AD56,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q56=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C56=\"\",'Employees & COBRA Enrollees'!C56=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q56=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D56=\"\",'Employees & COBRA Enrollees'!D56=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO56=\"\",\"\",'Employees & COBRA Enrollees'!Q56)","v":""},{"$f":"IF(AO56=\"\",\"\",'Employees & COBRA Enrollees'!Q56)","v":""},{"$f":"IF(AO56=\"\",\"\",'Employees & COBRA Enrollees'!S56)","v":""},{"$f":"IF(AO56=\"\",\"\",IF(AS56<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR56=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO56=\"\",\"\",IF(AS56<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR56=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP56=\"\",\"\",IF(AS56<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR56=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP56=\"\",\"\",IF(AS56<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR56=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ56=\"\",\"\",'Employees & COBRA Enrollees'!AP56)","v":""},{"$f":"IF(BA56=\"\",\"\",IF(AS56=\"M - Member/Employee\",BA56,_xlfn.XLOOKUP(1,(AR56=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K56),\"\",IF(AND(Waivers!K56=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K56=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K56))))","v":""}]
[null,"Valid - VA",null,null,null,null,null,null,null,null,null,{"$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,"3A8O","WholeCare HMO Platinum $10","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R57,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,"320D","Vision - PPO Plus 20-1","",null,null,"Yes","Z",{"$f":"_xlfn.XLOOKUP(AD57,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,{"$f":"IF('Employees & COBRA Enrollees'!$Q57=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C57=\"\",'Employees & COBRA Enrollees'!C57=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q57=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D57=\"\",'Employees & COBRA Enrollees'!D57=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO57=\"\",\"\",'Employees & COBRA Enrollees'!Q57)","v":""},{"$f":"IF(AO57=\"\",\"\",'Employees & COBRA Enrollees'!Q57)","v":""},{"$f":"IF(AO57=\"\",\"\",'Employees & COBRA Enrollees'!S57)","v":""},{"$f":"IF(AO57=\"\",\"\",IF(AS57<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR57=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO57=\"\",\"\",IF(AS57<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR57=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP57=\"\",\"\",IF(AS57<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR57=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP57=\"\",\"\",IF(AS57<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR57=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ57=\"\",\"\",'Employees & COBRA Enrollees'!AP57)","v":""},{"$f":"IF(BA57=\"\",\"\",IF(AS57=\"M - Member/Employee\",BA57,_xlfn.XLOOKUP(1,(AR57=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K57),\"\",IF(AND(Waivers!K57=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K57=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K57))))","v":""}]
[null,"Valid - Active Military Duty",null,null,null,null,null,null,null,null,null,{"$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,"3A8P","WholeCare HMO Platinum $20","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R58,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q58=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C58=\"\",'Employees & COBRA Enrollees'!C58=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q58=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D58=\"\",'Employees & COBRA Enrollees'!D58=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO58=\"\",\"\",'Employees & COBRA Enrollees'!Q58)","v":""},{"$f":"IF(AO58=\"\",\"\",'Employees & COBRA Enrollees'!Q58)","v":""},{"$f":"IF(AO58=\"\",\"\",'Employees & COBRA Enrollees'!S58)","v":""},{"$f":"IF(AO58=\"\",\"\",IF(AS58<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR58=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO58=\"\",\"\",IF(AS58<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR58=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP58=\"\",\"\",IF(AS58<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR58=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP58=\"\",\"\",IF(AS58<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR58=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ58=\"\",\"\",'Employees & COBRA Enrollees'!AP58)","v":""},{"$f":"IF(BA58=\"\",\"\",IF(AS58=\"M - Member/Employee\",BA58,_xlfn.XLOOKUP(1,(AR58=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K58),\"\",IF(AND(Waivers!K58=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K58=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K58))))","v":""}]
[null,"Valid - Individual coverage on or off the Exchange",null,null,null,null,null,null,null,null,null,{"$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,"3A8Q","WholeCare HMO Platinum $30","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R59,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q59=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C59=\"\",'Employees & COBRA Enrollees'!C59=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q59=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D59=\"\",'Employees & COBRA Enrollees'!D59=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO59=\"\",\"\",'Employees & COBRA Enrollees'!Q59)","v":""},{"$f":"IF(AO59=\"\",\"\",'Employees & COBRA Enrollees'!Q59)","v":""},{"$f":"IF(AO59=\"\",\"\",'Employees & COBRA Enrollees'!S59)","v":""},{"$f":"IF(AO59=\"\",\"\",IF(AS59<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR59=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO59=\"\",\"\",IF(AS59<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR59=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP59=\"\",\"\",IF(AS59<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR59=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP59=\"\",\"\",IF(AS59<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR59=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ59=\"\",\"\",'Employees & COBRA Enrollees'!AP59)","v":""},{"$f":"IF(BA59=\"\",\"\",IF(AS59=\"M - Member/Employee\",BA59,_xlfn.XLOOKUP(1,(AR59=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K59),\"\",IF(AND(Waivers!K59=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K59=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K59))))","v":""}]
[null,"Coverage with another health insurer through the same employer on or off the Exchange",null,null,null,null,null,null,null,null,null,{"$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,"3A8R","WholeCare HMO Platinum $35","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R60,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q60=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C60=\"\",'Employees & COBRA Enrollees'!C60=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q60=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D60=\"\",'Employees & COBRA Enrollees'!D60=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO60=\"\",\"\",'Employees & COBRA Enrollees'!Q60)","v":""},{"$f":"IF(AO60=\"\",\"\",'Employees & COBRA Enrollees'!Q60)","v":""},{"$f":"IF(AO60=\"\",\"\",'Employees & COBRA Enrollees'!S60)","v":""},{"$f":"IF(AO60=\"\",\"\",IF(AS60<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR60=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO60=\"\",\"\",IF(AS60<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR60=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP60=\"\",\"\",IF(AS60<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR60=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP60=\"\",\"\",IF(AS60<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR60=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ60=\"\",\"\",'Employees & COBRA Enrollees'!AP60)","v":""},{"$f":"IF(BA60=\"\",\"\",IF(AS60=\"M - Member/Employee\",BA60,_xlfn.XLOOKUP(1,(AR60=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K60),\"\",IF(AND(Waivers!K60=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K60=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K60))))","v":""}]
[null,"Non Valid - Religious reasons",null,null,null,null,null,null,null,null,null,{"$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,"3A8S","WholeCare HMO Platinum $0","","","","Yes","DW","No",{"$f":"_xlfn.XLOOKUP(R61,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q61=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C61=\"\",'Employees & COBRA Enrollees'!C61=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q61=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D61=\"\",'Employees & COBRA Enrollees'!D61=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO61=\"\",\"\",'Employees & COBRA Enrollees'!Q61)","v":""},{"$f":"IF(AO61=\"\",\"\",'Employees & COBRA Enrollees'!Q61)","v":""},{"$f":"IF(AO61=\"\",\"\",'Employees & COBRA Enrollees'!S61)","v":""},{"$f":"IF(AO61=\"\",\"\",IF(AS61<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR61=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO61=\"\",\"\",IF(AS61<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR61=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP61=\"\",\"\",IF(AS61<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR61=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP61=\"\",\"\",IF(AS61<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR61=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ61=\"\",\"\",'Employees & COBRA Enrollees'!AP61)","v":""},{"$f":"IF(BA61=\"\",\"\",IF(AS61=\"M - Member/Employee\",BA61,_xlfn.XLOOKUP(1,(AR61=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K61),\"\",IF(AND(Waivers!K61=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K61=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K61))))","v":""}]
[null,"Non Valid - Can't afford it",null,null,null,null,null,null,null,null,null,{"$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,"3A8T","WholeCare HMO Platinum $10","","","","Yes","DW","No",{"$f":"_xlfn.XLOOKUP(R62,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q62=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C62=\"\",'Employees & COBRA Enrollees'!C62=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q62=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D62=\"\",'Employees & COBRA Enrollees'!D62=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO62=\"\",\"\",'Employees & COBRA Enrollees'!Q62)","v":""},{"$f":"IF(AO62=\"\",\"\",'Employees & COBRA Enrollees'!Q62)","v":""},{"$f":"IF(AO62=\"\",\"\",'Employees & COBRA Enrollees'!S62)","v":""},{"$f":"IF(AO62=\"\",\"\",IF(AS62<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR62=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO62=\"\",\"\",IF(AS62<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR62=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP62=\"\",\"\",IF(AS62<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR62=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP62=\"\",\"\",IF(AS62<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR62=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ62=\"\",\"\",'Employees & COBRA Enrollees'!AP62)","v":""},{"$f":"IF(BA62=\"\",\"\",IF(AS62=\"M - Member/Employee\",BA62,_xlfn.XLOOKUP(1,(AR62=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K62),\"\",IF(AND(Waivers!K62=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K62=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K62))))","v":""}]
[null,"Non Valid - Doesn't want it",null,null,null,null,null,null,null,null,null,{"$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,"3A8U","WholeCare HMO Platinum $20","","","","Yes","DW","No",{"$f":"_xlfn.XLOOKUP(R63,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q63=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C63=\"\",'Employees & COBRA Enrollees'!C63=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q63=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D63=\"\",'Employees & COBRA Enrollees'!D63=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO63=\"\",\"\",'Employees & COBRA Enrollees'!Q63)","v":""},{"$f":"IF(AO63=\"\",\"\",'Employees & COBRA Enrollees'!Q63)","v":""},{"$f":"IF(AO63=\"\",\"\",'Employees & COBRA Enrollees'!S63)","v":""},{"$f":"IF(AO63=\"\",\"\",IF(AS63<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR63=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO63=\"\",\"\",IF(AS63<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR63=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP63=\"\",\"\",IF(AS63<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR63=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP63=\"\",\"\",IF(AS63<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR63=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ63=\"\",\"\",'Employees & COBRA Enrollees'!AP63)","v":""},{"$f":"IF(BA63=\"\",\"\",IF(AS63=\"M - Member/Employee\",BA63,_xlfn.XLOOKUP(1,(AR63=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K63),\"\",IF(AND(Waivers!K63=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K63=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K63))))","v":""}]
[null,"Non Valid - Doesn't care",null,null,null,null,null,null,null,null,null,{"$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,"3A8V","WholeCare HMO Platinum $30","","","","Yes","DW","No",{"$f":"_xlfn.XLOOKUP(R64,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q64=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C64=\"\",'Employees & COBRA Enrollees'!C64=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q64=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D64=\"\",'Employees & COBRA Enrollees'!D64=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO64=\"\",\"\",'Employees & COBRA Enrollees'!Q64)","v":""},{"$f":"IF(AO64=\"\",\"\",'Employees & COBRA Enrollees'!Q64)","v":""},{"$f":"IF(AO64=\"\",\"\",'Employees & COBRA Enrollees'!S64)","v":""},{"$f":"IF(AO64=\"\",\"\",IF(AS64<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR64=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO64=\"\",\"\",IF(AS64<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR64=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP64=\"\",\"\",IF(AS64<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR64=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP64=\"\",\"\",IF(AS64<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR64=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ64=\"\",\"\",'Employees & COBRA Enrollees'!AP64)","v":""},{"$f":"IF(BA64=\"\",\"\",IF(AS64=\"M - Member/Employee\",BA64,_xlfn.XLOOKUP(1,(AR64=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K64),\"\",IF(AND(Waivers!K64=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K64=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K64))))","v":""}]
[null,"Non Valid - Coverage through an association",null,null,null,null,null,null,null,null,null,{"$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,"3A8W","WholeCare HMO Platinum $35","","","","Yes","DW","No",{"$f":"_xlfn.XLOOKUP(R65,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q65=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C65=\"\",'Employees & COBRA Enrollees'!C65=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q65=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D65=\"\",'Employees & COBRA Enrollees'!D65=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO65=\"\",\"\",'Employees & COBRA Enrollees'!Q65)","v":""},{"$f":"IF(AO65=\"\",\"\",'Employees & COBRA Enrollees'!Q65)","v":""},{"$f":"IF(AO65=\"\",\"\",'Employees & COBRA Enrollees'!S65)","v":""},{"$f":"IF(AO65=\"\",\"\",IF(AS65<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR65=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO65=\"\",\"\",IF(AS65<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR65=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP65=\"\",\"\",IF(AS65<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR65=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP65=\"\",\"\",IF(AS65<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR65=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ65=\"\",\"\",'Employees & COBRA Enrollees'!AP65)","v":""},{"$f":"IF(BA65=\"\",\"\",IF(AS65=\"M - Member/Employee\",BA65,_xlfn.XLOOKUP(1,(AR65=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K65),\"\",IF(AND(Waivers!K65=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K65=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K65))))","v":""}]
[null,"Non Valid - Other",null,null,null,null,null,null,null,null,null,{"$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,"3A95","WholeCare HMO Gold $30",{"$f":"IF(AB66=\"\",\"\",S66)","v":""},"","","","DW",{"$f":"IF(X66=\"GO\",\"Yes\",\"No\")","v":"No"},{"$f":"_xlfn.XLOOKUP(R66,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},{"$f":"LEFT(Z66,5)","v":""},{"$f":"IF(AA66=\"\",\"\",AA66&\"A\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q66=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C66=\"\",'Employees & COBRA Enrollees'!C66=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q66=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D66=\"\",'Employees & COBRA Enrollees'!D66=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO66=\"\",\"\",'Employees & COBRA Enrollees'!Q66)","v":""},{"$f":"IF(AO66=\"\",\"\",'Employees & COBRA Enrollees'!Q66)","v":""},{"$f":"IF(AO66=\"\",\"\",'Employees & COBRA Enrollees'!S66)","v":""},{"$f":"IF(AO66=\"\",\"\",IF(AS66<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR66=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO66=\"\",\"\",IF(AS66<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR66=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP66=\"\",\"\",IF(AS66<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR66=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP66=\"\",\"\",IF(AS66<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR66=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ66=\"\",\"\",'Employees & COBRA Enrollees'!AP66)","v":""},{"$f":"IF(BA66=\"\",\"\",IF(AS66=\"M - Member/Employee\",BA66,_xlfn.XLOOKUP(1,(AR66=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K66),\"\",IF(AND(Waivers!K66=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K66=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K66))))","v":""}]
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[null,"Dental - DPPO Classic 4 1500",null,null,null,null,null,null,null,null,null,{"$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,"3A9B","WholeCare HMO Gold $35","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R72,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q72=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C72=\"\",'Employees & COBRA Enrollees'!C72=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q72=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D72=\"\",'Employees & COBRA Enrollees'!D72=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO72=\"\",\"\",'Employees & COBRA Enrollees'!Q72)","v":""},{"$f":"IF(AO72=\"\",\"\",'Employees & COBRA Enrollees'!Q72)","v":""},{"$f":"IF(AO72=\"\",\"\",'Employees & COBRA Enrollees'!S72)","v":""},{"$f":"IF(AO72=\"\",\"\",IF(AS72<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR72=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO72=\"\",\"\",IF(AS72<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR72=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP72=\"\",\"\",IF(AS72<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR72=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP72=\"\",\"\",IF(AS72<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR72=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ72=\"\",\"\",'Employees & COBRA Enrollees'!AP72)","v":""},{"$f":"IF(BA72=\"\",\"\",IF(AS72=\"M - Member/Employee\",BA72,_xlfn.XLOOKUP(1,(AR72=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K72),\"\",IF(AND(Waivers!K72=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K72=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K72))))","v":""}]
[null,"Dental - DPPO Classic 5 1500 (w/ortho)",null,null,null,null,null,null,null,null,null,{"$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,"3A9C","WholeCare HMO Gold $40","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R73,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q73=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C73=\"\",'Employees & COBRA Enrollees'!C73=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q73=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D73=\"\",'Employees & COBRA Enrollees'!D73=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO73=\"\",\"\",'Employees & COBRA Enrollees'!Q73)","v":""},{"$f":"IF(AO73=\"\",\"\",'Employees & COBRA Enrollees'!Q73)","v":""},{"$f":"IF(AO73=\"\",\"\",'Employees & COBRA Enrollees'!S73)","v":""},{"$f":"IF(AO73=\"\",\"\",IF(AS73<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR73=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO73=\"\",\"\",IF(AS73<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR73=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO73=\"\",\"\",1)","v":""},"",{"$f":"IF(AP73=\"\",\"\",IF(AS73<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR73=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP73=\"\",\"\",IF(AS73<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR73=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP73=\"\",\"\",IF(AND(AS73=\"M - Member/Employee\",AX73=0,AY73=1),\"E/L\",IF(AR73=AR72,AZ72,\"Active\")))","v":""},{"$f":"IF(AQ73=\"\",\"\",'Employees & COBRA Enrollees'!AP73)","v":""},{"$f":"IF(BA73=\"\",\"\",IF(AS73=\"M - Member/Employee\",BA73,_xlfn.XLOOKUP(1,(AR73=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K73),\"\",IF(AND(Waivers!K73=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K73=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K73))))","v":""}]
[null,"Dental - DPPO Classic 7 Unlimited",null,null,null,null,null,null,null,null,null,{"$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,"3A9D","WholeCare HMO Gold $50","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R74,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q74=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C74=\"\",'Employees & COBRA Enrollees'!C74=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q74=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D74=\"\",'Employees & COBRA Enrollees'!D74=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO74=\"\",\"\",'Employees & COBRA Enrollees'!Q74)","v":""},{"$f":"IF(AO74=\"\",\"\",'Employees & COBRA Enrollees'!Q74)","v":""},{"$f":"IF(AO74=\"\",\"\",'Employees & COBRA Enrollees'!S74)","v":""},{"$f":"IF(AO74=\"\",\"\",IF(AS74<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR74=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO74=\"\",\"\",IF(AS74<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR74=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AO74=\"\",\"\",IF(AND(AS74=\"M - Member/Employee\",AT74=0,AU74=1),\"E/L\",IF(AR74=AR73,AW73,\"Active\")))","v":""},{"$f":"IF(AP74=\"\",\"\",IF(AS74<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR74=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP74=\"\",\"\",IF(AS74<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR74=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ74=\"\",\"\",'Employees & COBRA Enrollees'!AP74)","v":""},{"$f":"IF(BA74=\"\",\"\",IF(AS74=\"M - Member/Employee\",BA74,_xlfn.XLOOKUP(1,(AR74=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K74),\"\",IF(AND(Waivers!K74=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K74=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K74))))","v":""}]
[null,"Dental - DPPO Classic 11 Unlimited (w/ortho)",null,null,null,null,null,null,null,null,null,{"$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,"3A9E","WholeCare HMO Gold $55","","Yes","","","DW","No",{"$f":"_xlfn.XLOOKUP(R75,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q75=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C75=\"\",'Employees & COBRA Enrollees'!C75=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q75=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D75=\"\",'Employees & COBRA Enrollees'!D75=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO75=\"\",\"\",'Employees & COBRA Enrollees'!Q75)","v":""},{"$f":"IF(AO75=\"\",\"\",'Employees & COBRA Enrollees'!Q75)","v":""},{"$f":"IF(AO75=\"\",\"\",'Employees & COBRA Enrollees'!S75)","v":""},{"$f":"IF(AO75=\"\",\"\",IF(AS75<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR75=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO75=\"\",\"\",IF(AS75<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR75=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP75=\"\",\"\",IF(AS75<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR75=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP75=\"\",\"\",IF(AS75<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR75=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ75=\"\",\"\",'Employees & COBRA Enrollees'!AP75)","v":""},{"$f":"IF(BA75=\"\",\"\",IF(AS75=\"M - Member/Employee\",BA75,_xlfn.XLOOKUP(1,(AR75=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K75),\"\",IF(AND(Waivers!K75=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K75=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K75))))","v":""}]
[null,"Dental - DPPO Essential 2 1000",null,null,null,null,null,null,null,null,null,{"$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,"3A9F","WholeCare HMO Gold $30","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R76,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q76=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C76=\"\",'Employees & COBRA Enrollees'!C76=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q76=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D76=\"\",'Employees & COBRA Enrollees'!D76=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO76=\"\",\"\",'Employees & COBRA Enrollees'!Q76)","v":""},{"$f":"IF(AO76=\"\",\"\",'Employees & COBRA Enrollees'!Q76)","v":""},{"$f":"IF(AO76=\"\",\"\",'Employees & COBRA Enrollees'!S76)","v":""},{"$f":"IF(AO76=\"\",\"\",IF(AS76<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR76=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO76=\"\",\"\",IF(AS76<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR76=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP76=\"\",\"\",IF(AS76<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR76=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP76=\"\",\"\",IF(AS76<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR76=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ76=\"\",\"\",'Employees & COBRA Enrollees'!AP76)","v":""},{"$f":"IF(BA76=\"\",\"\",IF(AS76=\"M - Member/Employee\",BA76,_xlfn.XLOOKUP(1,(AR76=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K76),\"\",IF(AND(Waivers!K76=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K76=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K76))))","v":""}]
[null,"Dental - DPPO Essential 5 1500 (w/ortho)",null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC83=\"No\",'Employees & COBRA Enrollees'!A83&\" \"&'Employees & COBRA Enrollees'!B83,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC83=\"No\",'Employees & COBRA Enrollees'!S83,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC83=\"Yes\",'Employees & COBRA Enrollees'!A83&\" \"&'Employees & COBRA Enrollees'!B83,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC83=\"Yes\",'Employees & COBRA Enrollees'!S83,\"\")","v":""},null,"3A9G","WholeCare HMO Gold $35","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R77,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q77=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C77=\"\",'Employees & COBRA Enrollees'!C77=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q77=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D77=\"\",'Employees & COBRA Enrollees'!D77=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO77=\"\",\"\",'Employees & COBRA Enrollees'!Q77)","v":""},{"$f":"IF(AO77=\"\",\"\",'Employees & COBRA Enrollees'!Q77)","v":""},{"$f":"IF(AO77=\"\",\"\",'Employees & COBRA Enrollees'!S77)","v":""},{"$f":"IF(AO77=\"\",\"\",IF(AS77<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR77=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO77=\"\",\"\",IF(AS77<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR77=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP77=\"\",\"\",IF(AS77<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR77=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP77=\"\",\"\",IF(AS77<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR77=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ77=\"\",\"\",'Employees & COBRA Enrollees'!AP77)","v":""},{"$f":"IF(BA77=\"\",\"\",IF(AS77=\"M - Member/Employee\",BA77,_xlfn.XLOOKUP(1,(AR77=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K77),\"\",IF(AND(Waivers!K77=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K77=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K77))))","v":""}]
[null,"Dental - DPPO Essential 6 1500",null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC84=\"No\",'Employees & COBRA Enrollees'!A84&\" \"&'Employees & COBRA Enrollees'!B84,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC84=\"No\",'Employees & COBRA Enrollees'!S84,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC84=\"Yes\",'Employees & COBRA Enrollees'!A84&\" \"&'Employees & COBRA Enrollees'!B84,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC84=\"Yes\",'Employees & COBRA Enrollees'!S84,\"\")","v":""},null,"3A9H","WholeCare HMO Gold $40","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R78,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q78=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C78=\"\",'Employees & COBRA Enrollees'!C78=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q78=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D78=\"\",'Employees & COBRA Enrollees'!D78=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO78=\"\",\"\",'Employees & COBRA Enrollees'!Q78)","v":""},{"$f":"IF(AO78=\"\",\"\",'Employees & COBRA Enrollees'!Q78)","v":""},{"$f":"IF(AO78=\"\",\"\",'Employees & COBRA Enrollees'!S78)","v":""},{"$f":"IF(AO78=\"\",\"\",IF(AS78<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR78=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO78=\"\",\"\",IF(AS78<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR78=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP78=\"\",\"\",IF(AS78<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR78=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP78=\"\",\"\",IF(AS78<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR78=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ78=\"\",\"\",'Employees & COBRA Enrollees'!AP78)","v":""},{"$f":"IF(BA78=\"\",\"\",IF(AS78=\"M - Member/Employee\",BA78,_xlfn.XLOOKUP(1,(AR78=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K78),\"\",IF(AND(Waivers!K78=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K78=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K78))))","v":""}]
[null,"Dental - DPPO Essential 10 3000 (w/ortho & implant)",null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!AC85=\"No\",'Employees & COBRA Enrollees'!A85&\" \"&'Employees & COBRA Enrollees'!B85,\"\")","v":" "},{"$f":"IF('Employees & COBRA Enrollees'!AC85=\"No\",'Employees & COBRA Enrollees'!S85,\"\")","v":0},null,{"$f":"IF('Employees & COBRA Enrollees'!AC85=\"Yes\",'Employees & COBRA Enrollees'!A85&\" \"&'Employees & COBRA Enrollees'!B85,\"\")","v":""},{"$f":"IF('Employees & COBRA Enrollees'!AC85=\"Yes\",'Employees & COBRA Enrollees'!S85,\"\")","v":""},null,"3A9J","WholeCare HMO Gold $50","","","Yes","","DW","No",{"$f":"_xlfn.XLOOKUP(R79,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"","",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Employees & COBRA Enrollees'!$Q79=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!C79=\"\",'Employees & COBRA Enrollees'!C79=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF('Employees & COBRA Enrollees'!$Q79=\"\",\"\",IF(OR('Employees & COBRA Enrollees'!D79=\"\",'Employees & COBRA Enrollees'!D79=\"None\"),\"Waive\",\"Enroll\"))","v":""},{"$f":"IF(AO79=\"\",\"\",'Employees & COBRA Enrollees'!Q79)","v":""},{"$f":"IF(AO79=\"\",\"\",'Employees & COBRA Enrollees'!Q79)","v":""},{"$f":"IF(AO79=\"\",\"\",'Employees & COBRA Enrollees'!S79)","v":""},{"$f":"IF(AO79=\"\",\"\",IF(AS79<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR79=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AO79=\"\",\"\",IF(AS79<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR79=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AO$9:$AO$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"","",{"$f":"IF(AP79=\"\",\"\",IF(AS79<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR79=$AQ$9:$AQ$302)*(($AS$9:$AS$302=\"S - Spouse\")+($AS$9:$AS$302=\"P - Partner\"))*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},{"$f":"IF(AP79=\"\",\"\",IF(AS79<>\"M - Member/Employee\",0,_xlfn.XLOOKUP(1,(AR79=$AQ$9:$AQ$302)*($AS$9:$AS$302=\"D - Dependent\")*($AP$9:$AP$302=\"Enroll\"),$AV$9:$AV$302,0)))","v":""},"",{"$f":"IF(AQ79=\"\",\"\",'Employees & COBRA Enrollees'!AP79)","v":""},{"$f":"IF(BA79=\"\",\"\",IF(AS79=\"M - Member/Employee\",BA79,_xlfn.XLOOKUP(1,(AR79=AQ:AQ)*(AS:AS=\"M - Member/Employee\"),BA:BA)))","v":""},null,{"$f":"IF(ISBLANK(Waivers!K79),\"\",IF(AND(Waivers!K79=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5>3),1,IF(AND(Waivers!K79=\"Coverage with another health insurer through the same employer on or off the Exchange\",'Enrollment Summary'!$C$5<5),5,FIND(\"Valid\",Waivers!K79))))","v":""}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3AGC","Full Network PPO Gold PPO 500/20","","Yes","","","GO","Yes",{"$f":"_xlfn.XLOOKUP(R312,'ABS Extract'!C:C,'ABS Extract'!A:A,\"\")","v":""},"",""]
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["CALIFORNIA NEW GROUP SUBMISSION (2026 EFFECTIVE DATES) Version 1"]
["GROUP EFFECTIVE DATE",null,"(Input Effective Date Here) "]
["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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[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]
[null,"Decline",null,"Yes"]

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["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,{"$f":"SUM(F79:F89)","v":0},null,"Enrolling Subscribers",null,{"$f":"SUM(F93:F99)","v":0}]
["Enrolling Members",null,{"$f":"SUM(G15:G75)","v":0},null,"Enrolling Members",null,{"$f":"SUM(G79:G89)","v":0},null,"Enrolling Members",null,{"$f":"SUM(G93:G99)","v":0}]
["Enrolling COBRA Subscribers",null,{"$f":"SUM(J15:J75)","v":0},null,"Enrolling COBRA Subscribers",null,{"$f":"SUM(J79:J89)","v":0},null,"Enrolling COBRA Subscribers",null,{"$f":"SUM(J93:J99)","v":0}]
["Enrolling COBRA Members",null,{"$f":"SUM(K15:K75)","v":0},null,"Enrolling COBRA Members",null,{"$f":"SUM(K79:K89)","v":0},null,"Enrolling COBRA Members",null,{"$f":"SUM(K93:K99)","v":0}]
["Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Medical\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)","v":0},null,"Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Dental and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)","v":0},null,"Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Dental and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,1)","v":0}]
["Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Medical\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)","v":0},null,"Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Dental\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Dental and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)","v":0},null,"Non Valid Waivers",null,{"$f":"COUNTIFS(Waivers!$C$10:$C$122,\"Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Dental and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)+COUNTIFS(Waivers!$C$10:$C$122,\"Medical, Dental, and Vision\",Waivers!$H$10:$H$122,\"M - Member/Employee\",Tables!$BD$10:$BD$122,5)","v":0}]
["Participation",null,{"$f":"IF(ISNUMBER(C5/(C4-C9)),C5/(C4-C9),0)","v":0},null,"Participation",null,{"$f":"IF(ISNUMBER(G5/(G4-G9)),G5/(G4-G9),0)","v":0},null,"Participation",null,{"$f":"IF(ISNUMBER(K5/(K4-K9)),K5/(K4-K9),0)","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 $0",null,null,{"$f":"_xlfn.XLOOKUP(A15,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A15,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A15)","v":0},{"$f":"IF(D15=\"\",\"\",LEFT(D15,5)&\"C\")","v":""},null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A15,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A15)","v":0}]
["Full Network HMO Platinum $10",null,null,{"$f":"_xlfn.XLOOKUP(A16,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A16,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A16)","v":0},{"$f":"IF(D16=\"\",\"\",LEFT(D16,5)&\"C\")","v":""},null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A16,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A16)","v":0}]
["Full Network HMO Platinum $20",null,null,{"$f":"_xlfn.XLOOKUP(A17,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A17,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A17)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A17,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A17)","v":0}]
["Full Network HMO Platinum $30",null,null,{"$f":"_xlfn.XLOOKUP(A18,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A18,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A18)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A18,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A18)","v":0}]
["Full Network HMO Platinum $35",null,null,{"$f":"_xlfn.XLOOKUP(A19,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A19,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A19)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A19,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A19)","v":0}]
["Full Network HMO Gold $30",null,null,{"$f":"_xlfn.XLOOKUP(A20,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A20,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A20)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A20,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A20)","v":0}]
["Full Network HMO Gold $35",null,null,{"$f":"_xlfn.XLOOKUP(A21,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A21,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A21)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A21,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A21)","v":0}]
["Full Network HMO Gold $40",null,null,{"$f":"_xlfn.XLOOKUP(A22,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A22,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A22)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A22,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A22)","v":0}]
["Full Network HMO Gold $50",null,null,{"$f":"_xlfn.XLOOKUP(A23,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A23,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A23)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A23,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A23)","v":0}]
["Full Network HMO Gold $55",null,null,{"$f":"_xlfn.XLOOKUP(A24,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A24,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A24)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A24,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A24)","v":0}]
["Full Network HMO Silver $55",null,null,{"$f":"_xlfn.XLOOKUP(A25,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A25,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A25)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A25,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A25)","v":0}]
["WholeCare HMO Platinum $0",null,null,{"$f":"_xlfn.XLOOKUP(A26,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A26,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A26)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A26,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A26)","v":0}]
["WholeCare HMO Platinum $10",null,null,{"$f":"_xlfn.XLOOKUP(A27,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A27,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A27)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A27,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A27)","v":0}]
["WholeCare HMO Platinum $20",null,null,{"$f":"_xlfn.XLOOKUP(A28,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A28,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A28)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A28,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A28)","v":0}]
["WholeCare HMO Platinum $30",null,null,{"$f":"_xlfn.XLOOKUP(A29,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A29,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A29)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A29,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A29)","v":0}]
["WholeCare HMO Platinum $35",null,null,{"$f":"_xlfn.XLOOKUP(A30,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A30,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A30)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A30,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A30)","v":0}]
["WholeCare HMO Gold $30",null,null,{"$f":"_xlfn.XLOOKUP(A31,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A31,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A31)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A31,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A31)","v":0}]
["WholeCare HMO Gold $35",null,null,{"$f":"_xlfn.XLOOKUP(A32,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A32,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A32)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A32,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A32)","v":0}]
["WholeCare HMO Gold $40",null,null,{"$f":"_xlfn.XLOOKUP(A33,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A33,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A33)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A33,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A33)","v":0}]
["WholeCare HMO Gold $50",null,null,{"$f":"_xlfn.XLOOKUP(A34,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A34,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A34)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A34,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A34)","v":0}]
["WholeCare HMO Gold $55",null,null,{"$f":"_xlfn.XLOOKUP(A35,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A35,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A35)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A35,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A35)","v":0}]
["WholeCare HMO Silver $55",null,null,{"$f":"_xlfn.XLOOKUP(A36,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A36,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A36)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A36,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A36)","v":0}]
["SmartCare HMO Platinum $0",null,null,{"$f":"_xlfn.XLOOKUP(A37,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A37,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A37)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A37,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A37)","v":0}]
["SmartCare HMO Platinum $10",null,null,{"$f":"_xlfn.XLOOKUP(A38,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A38,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A38)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A38,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A38)","v":0}]
["SmartCare HMO Platinum $20",null,null,{"$f":"_xlfn.XLOOKUP(A39,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A39,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A39)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A39,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A39)","v":0}]
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["Salud HMO y Mas Platinum $0",null,null,{"$f":"_xlfn.XLOOKUP(A48,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A48,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A48)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A48,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A48)","v":0}]
["Salud HMO y Mas Platinum $10",null,null,{"$f":"_xlfn.XLOOKUP(A49,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A49,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A49)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A49,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A49)","v":0}]
["Salud HMO y Mas Platinum $20",null,null,{"$f":"_xlfn.XLOOKUP(A50,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A50,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A50)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A50,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A50)","v":0}]
["Salud HMO y Mas Platinum $30",null,null,{"$f":"_xlfn.XLOOKUP(A51,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A51,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A51)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A51,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A51)","v":0}]
["Salud HMO y Mas Platinum $35",null,null,{"$f":"_xlfn.XLOOKUP(A52,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A52,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A52)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A52,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A52)","v":0}]
["Salud HMO y Mas Gold $30",null,null,{"$f":"_xlfn.XLOOKUP(A53,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A53,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A53)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A53,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A53)","v":0}]
["Salud HMO y Mas Gold $35",null,null,{"$f":"_xlfn.XLOOKUP(A54,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A54,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A54)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A54,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A54)","v":0}]
["Salud HMO y Mas Gold $40",null,null,{"$f":"_xlfn.XLOOKUP(A55,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A55,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A55)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A55,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A55)","v":0}]
["Salud HMO y Mas Gold $50",null,null,{"$f":"_xlfn.XLOOKUP(A56,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A56,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A56)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A56,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A56)","v":0}]
["Salud HMO y Mas Gold $55",null,null,{"$f":"_xlfn.XLOOKUP(A57,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A57,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A57)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A57,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A57)","v":0}]
["Salud HMO y Mas Silver $55",null,null,{"$f":"_xlfn.XLOOKUP(A58,Tables!T:T,Tables!AB:AB,\"\")","v":""},null,{"$f":"COUNTIFS(Tables!$L$3:$L$296,A58,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A58)","v":0},"",null,{"$f":"COUNTIFS(Tables!$O$3:$O$296,A58,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A58)","v":0}]
["Full Network PPO Platinum PPO 0/5",null,null,{"$f":"_xlfn.XLOOKUP(A59,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A59,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A59,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A59)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A59,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A59)","v":0}]
["Full Network PPO Platinum PPO 0/15",null,null,{"$f":"_xlfn.XLOOKUP(A60,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A60,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A60,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A60)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A60,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A60)","v":0}]
["Full Network PPO Platinum PPO 250/15",null,null,{"$f":"_xlfn.XLOOKUP(A61,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A61,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A61,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A61)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A61,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A61)","v":0}]
["Full Network PPO Gold PPO 0/35",null,null,{"$f":"_xlfn.XLOOKUP(A62,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A62,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A62,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A62)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A62,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A62)","v":0}]
["Full Network PPO Gold PPO 350/25",null,null,{"$f":"_xlfn.XLOOKUP(A63,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A63,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A63,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A63)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A63,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A63)","v":0}]
["Full Network PPO Gold PPO 500/20",null,null,{"$f":"_xlfn.XLOOKUP(A64,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A64,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A64,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A64)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A64,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A64)","v":0}]
["Full Network PPO Gold PPO 750/15",null,null,{"$f":"_xlfn.XLOOKUP(A65,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A65,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A65,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A65)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A65,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A65)","v":0}]
["Full Network PPO Gold PPO 1000/35",null,null,{"$f":"_xlfn.XLOOKUP(A66,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A66,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A66,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A66)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A66,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A66)","v":0}]
["Full Network PPO Gold PPO 1500/20",null,null,{"$f":"_xlfn.XLOOKUP(A67,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A67,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A67,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A67)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A67,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A67)","v":0}]
["Full Network PPO Gold HDHP PPO 1700/20%",null,null,{"$f":"_xlfn.XLOOKUP(A68,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A68,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A68,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A68)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A68,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A68)","v":0}]
["Full Network PPO Silver PPO 1700/50",null,null,{"$f":"_xlfn.XLOOKUP(A69,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A69,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A69,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A69)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A69,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A69)","v":0}]
["Full Network PPO Silver PPO 2250/60",null,null,{"$f":"_xlfn.XLOOKUP(A70,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A70,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A70,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A70)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A70,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A70)","v":0}]
["Full Network PPO Silver PPO 2500/50",null,null,{"$f":"_xlfn.XLOOKUP(A71,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A71,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A71,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A71)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A71,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A71)","v":0}]
["Full Network PPO Silver PPO 2500/55",null,null,{"$f":"_xlfn.XLOOKUP(A72,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A72,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A72,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A72)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A72,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A72)","v":0}]
["Full Network PPO Silver HDHP PPO 1700/50%",null,null,{"$f":"_xlfn.XLOOKUP(A73,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A73,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A73,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A73)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A73,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A73)","v":0}]
["Full Network PPO Bronze PPO 5800/60",null,null,{"$f":"_xlfn.XLOOKUP(A74,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A74,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A74,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A74)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A74,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A74)","v":0}]
["Full Network PPO Bronze HDHP PPO 7200/0%",null,null,{"$f":"_xlfn.XLOOKUP(A75,Tables!T:T,Tables!AB:AB,\"\")","v":""},{"$f":"_xlfn.XLOOKUP(A75,Tables!T:T,Tables!AB:AB,\"\",,-1)","v":""},{"$f":"COUNTIFS(Tables!$L$3:$L$296,A75,Tables!$M$3:$M$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$L$3:$L$296,A75)","v":0},"","",{"$f":"COUNTIFS(Tables!$O$3:$O$296,A75,Tables!$P$3:$P$296,\"M - Member/Employee\")","v":0},{"$f":"COUNTIF(Tables!$O$3:$O$296,A75)","v":0}]
[]
["Dental",null,null,"Active",null,null,null,"Cobra"]
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["Dental - DHMO HN Plus 225",null,null,{"$f":"_xlfn.XLOOKUP(A80,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},{"$f":"IF($D80=\"\",\"\",LEFT(D80,5)&\"B\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A80,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A80,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},{"$f":"IF($D80=\"\",\"\",LEFT($D80,5)&\"C\")","v":""},{"$f":"IF($D80=\"\",\"\",LEFT($D80,5)&\"D\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A80,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A80,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
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["Dental - DPPO Classic 7 Unlimited",null,null,{"$f":"_xlfn.XLOOKUP(A83,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},"",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A83,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A83,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A83,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A83,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
["Dental - DPPO Classic 11 Unlimited (w/ortho)",null,null,{"$f":"_xlfn.XLOOKUP(A84,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},"",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A84,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A84,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A84,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A84,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
["Dental - DPPO Essential 2 1000",null,null,{"$f":"_xlfn.XLOOKUP(A85,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},"",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A85,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A85,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A85,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A85,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
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["Dental - DPPO Essential 6 1500",null,null,{"$f":"_xlfn.XLOOKUP(A87,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},"",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A87,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A87,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A87,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A87,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
["Dental - DPPO Essential 10 3000 (w/ortho & implant)",null,null,{"$f":"_xlfn.XLOOKUP(A88,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},{"$f":"IF($D88=\"\",\"\",LEFT(D88,5)&\"B\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A88,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A88,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A88,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A88,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
["Dental - DPPO Essential 11 5000 (w/ortho & implant)",null,null,{"$f":"_xlfn.XLOOKUP(A89,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},{"$f":"IF($D89=\"\",\"\",LEFT(D89,5)&\"B\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A89,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A89,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},{"$f":"IF($D89=\"\",\"\",LEFT($D89,5)&\"C\")","v":""},{"$f":"IF($D89=\"\",\"\",LEFT($D89,5)&\"D\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A89,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$C$9:$C$302,$A89,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
[]
["Vision",null,null,"Active",null,null,null,"Cobra"]
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["Vision - PPO Elite 1010-1",null,null,{"$f":"_xlfn.XLOOKUP(A93,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},{"$f":"IF($D93=\"\",\"\",LEFT(D93,5)&\"B\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A93,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A93,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},{"$f":"IF($D93=\"\",\"\",LEFT($D93,5)&\"C\")","v":""},{"$f":"IF($D93=\"\",\"\",LEFT($D93,5)&\"D\")","v":""},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A93,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A93,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
["Vision - PPO Supreme 010-2",null,null,{"$f":"_xlfn.XLOOKUP(A94,Tables!AF:AF,Tables!AM:AM,\"\")","v":""},"",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A94,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A94,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"No\")","v":0},"","",{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A94,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\",'Employees & COBRA Enrollees'!$S$9:$S$302,\"M - Member/Employee\")","v":0},{"$f":"COUNTIFS('Employees & COBRA Enrollees'!$D$9:$D$302,$A94,'Employees & COBRA Enrollees'!$AC$9:$AC$302,\"Yes\")","v":0}]
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["Enrollee Summary"]
["On DE9C or Legal Documents","EMPLOYEE FORM SIGNED","EFFECTIVE DATE","EMPLOYEE SSN","DOH","DOB","ENROLLEE NAME","COBRA?","Age At Effective Date","MEMBER TYPE","MEDICAL PLAN NAME","DENTAL PLAN NAME","VISION PLAN NAME","ADDRESS 1","ADDRESS 2","CITY","STATE","ZIP"]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR9),\"\",'Employees & COBRA Enrollees'!BR9)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P9),\"\",'Employees & COBRA Enrollees'!P9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q9),\"\",'Employees & COBRA Enrollees'!Q9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z9),\"\",'Employees & COBRA Enrollees'!Z9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y9),\"\",'Employees & COBRA Enrollees'!Y9)","v":""},{"$f":"'Employees & COBRA Enrollees'!V9&\" \"&'Employees & COBRA Enrollees'!U9","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC9),\"\",'Employees & COBRA Enrollees'!AC9)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y9),\"\",DATEDIF(F3,C3,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S9),\"\",'Employees & COBRA Enrollees'!S9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A9),\"\",'Employees & COBRA Enrollees'!A9&\" \"&'Employees & COBRA Enrollees'!B9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C9),\"\",'Employees & COBRA Enrollees'!C9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D9),\"\",'Employees & COBRA Enrollees'!D9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM9),\"\",'Employees & COBRA Enrollees'!AM9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN9),\"\",'Employees & COBRA Enrollees'!AN9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO9),\"\",'Employees & COBRA Enrollees'!AO9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP9),\"\",'Employees & COBRA Enrollees'!AP9)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ9),\"\",'Employees & COBRA Enrollees'!AQ9)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR10),\"\",'Employees & COBRA Enrollees'!BR10)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P10),\"\",'Employees & COBRA Enrollees'!P10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q10),\"\",'Employees & COBRA Enrollees'!Q10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z10),\"\",'Employees & COBRA Enrollees'!Z10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y10),\"\",'Employees & COBRA Enrollees'!Y10)","v":""},{"$f":"'Employees & COBRA Enrollees'!V10&\" \"&'Employees & COBRA Enrollees'!U10","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC10),\"\",'Employees & COBRA Enrollees'!AC10)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y10),\"\",DATEDIF(F4,C4,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S10),\"\",'Employees & COBRA Enrollees'!S10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A10),\"\",'Employees & COBRA Enrollees'!A10&\" \"&'Employees & COBRA Enrollees'!B10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C10),\"\",'Employees & COBRA Enrollees'!C10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D10),\"\",'Employees & COBRA Enrollees'!D10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM10),\"\",'Employees & COBRA Enrollees'!AM10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN10),\"\",'Employees & COBRA Enrollees'!AN10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO10),\"\",'Employees & COBRA Enrollees'!AO10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP10),\"\",'Employees & COBRA Enrollees'!AP10)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ10),\"\",'Employees & COBRA Enrollees'!AQ10)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR11),\"\",'Employees & COBRA Enrollees'!BR11)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P11),\"\",'Employees & COBRA Enrollees'!P11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q11),\"\",'Employees & COBRA Enrollees'!Q11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z11),\"\",'Employees & COBRA Enrollees'!Z11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y11),\"\",'Employees & COBRA Enrollees'!Y11)","v":""},{"$f":"'Employees & COBRA Enrollees'!V11&\" \"&'Employees & COBRA Enrollees'!U11","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC11),\"\",'Employees & COBRA Enrollees'!AC11)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y11),\"\",DATEDIF(F5,C5,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S11),\"\",'Employees & COBRA Enrollees'!S11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A11),\"\",'Employees & COBRA Enrollees'!A11&\" \"&'Employees & COBRA Enrollees'!B11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C11),\"\",'Employees & COBRA Enrollees'!C11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D11),\"\",'Employees & COBRA Enrollees'!D11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM11),\"\",'Employees & COBRA Enrollees'!AM11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN11),\"\",'Employees & COBRA Enrollees'!AN11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO11),\"\",'Employees & COBRA Enrollees'!AO11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP11),\"\",'Employees & COBRA Enrollees'!AP11)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ11),\"\",'Employees & COBRA Enrollees'!AQ11)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR12),\"\",'Employees & COBRA Enrollees'!BR12)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P12),\"\",'Employees & COBRA Enrollees'!P12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q12),\"\",'Employees & COBRA Enrollees'!Q12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z12),\"\",'Employees & COBRA Enrollees'!Z12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y12),\"\",'Employees & COBRA Enrollees'!Y12)","v":""},{"$f":"'Employees & COBRA Enrollees'!V12&\" \"&'Employees & COBRA Enrollees'!U12","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC12),\"\",'Employees & COBRA Enrollees'!AC12)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y12),\"\",DATEDIF(F6,C6,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S12),\"\",'Employees & COBRA Enrollees'!S12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A12),\"\",'Employees & COBRA Enrollees'!A12&\" \"&'Employees & COBRA Enrollees'!B12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C12),\"\",'Employees & COBRA Enrollees'!C12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D12),\"\",'Employees & COBRA Enrollees'!D12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM12),\"\",'Employees & COBRA Enrollees'!AM12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN12),\"\",'Employees & COBRA Enrollees'!AN12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO12),\"\",'Employees & COBRA Enrollees'!AO12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP12),\"\",'Employees & COBRA Enrollees'!AP12)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ12),\"\",'Employees & COBRA Enrollees'!AQ12)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR13),\"\",'Employees & COBRA Enrollees'!BR13)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P13),\"\",'Employees & COBRA Enrollees'!P13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q13),\"\",'Employees & COBRA Enrollees'!Q13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z13),\"\",'Employees & COBRA Enrollees'!Z13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y13),\"\",'Employees & COBRA Enrollees'!Y13)","v":""},{"$f":"'Employees & COBRA Enrollees'!V13&\" \"&'Employees & COBRA Enrollees'!U13","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC13),\"\",'Employees & COBRA Enrollees'!AC13)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y13),\"\",DATEDIF(F7,C7,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S13),\"\",'Employees & COBRA Enrollees'!S13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A13),\"\",'Employees & COBRA Enrollees'!A13&\" \"&'Employees & COBRA Enrollees'!B13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C13),\"\",'Employees & COBRA Enrollees'!C13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D13),\"\",'Employees & COBRA Enrollees'!D13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM13),\"\",'Employees & COBRA Enrollees'!AM13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN13),\"\",'Employees & COBRA Enrollees'!AN13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO13),\"\",'Employees & COBRA Enrollees'!AO13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP13),\"\",'Employees & COBRA Enrollees'!AP13)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ13),\"\",'Employees & COBRA Enrollees'!AQ13)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR14),\"\",'Employees & COBRA Enrollees'!BR14)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P14),\"\",'Employees & COBRA Enrollees'!P14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q14),\"\",'Employees & COBRA Enrollees'!Q14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z14),\"\",'Employees & COBRA Enrollees'!Z14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y14),\"\",'Employees & COBRA Enrollees'!Y14)","v":""},{"$f":"'Employees & COBRA Enrollees'!V14&\" \"&'Employees & COBRA Enrollees'!U14","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC14),\"\",'Employees & COBRA Enrollees'!AC14)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y14),\"\",DATEDIF(F8,C8,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S14),\"\",'Employees & COBRA Enrollees'!S14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A14),\"\",'Employees & COBRA Enrollees'!A14&\" \"&'Employees & COBRA Enrollees'!B14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C14),\"\",'Employees & COBRA Enrollees'!C14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D14),\"\",'Employees & COBRA Enrollees'!D14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM14),\"\",'Employees & COBRA Enrollees'!AM14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN14),\"\",'Employees & COBRA Enrollees'!AN14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO14),\"\",'Employees & COBRA Enrollees'!AO14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP14),\"\",'Employees & COBRA Enrollees'!AP14)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ14),\"\",'Employees & COBRA Enrollees'!AQ14)","v":""}]
[null,{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!BR15),\"\",'Employees & COBRA Enrollees'!BR15)","v":"Yes"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!P15),\"\",'Employees & COBRA Enrollees'!P15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Q15),\"\",'Employees & COBRA Enrollees'!Q15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Z15),\"\",'Employees & COBRA Enrollees'!Z15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y15),\"\",'Employees & COBRA Enrollees'!Y15)","v":""},{"$f":"'Employees & COBRA Enrollees'!V15&\" \"&'Employees & COBRA Enrollees'!U15","v":" "},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AC15),\"\",'Employees & COBRA Enrollees'!AC15)","v":"No"},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!Y15),\"\",DATEDIF(F9,C9,\"y\"))","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!S15),\"\",'Employees & COBRA Enrollees'!S15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!A15),\"\",'Employees & COBRA Enrollees'!A15&\" \"&'Employees & COBRA Enrollees'!B15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!C15),\"\",'Employees & COBRA Enrollees'!C15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!D15),\"\",'Employees & COBRA Enrollees'!D15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AM15),\"\",'Employees & COBRA Enrollees'!AM15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AN15),\"\",'Employees & COBRA Enrollees'!AN15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AO15),\"\",'Employees & COBRA Enrollees'!AO15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AP15),\"\",'Employees & COBRA Enrollees'!AP15)","v":""},{"$f":"IF(ISBLANK('Employees & COBRA Enrollees'!AQ15),\"\",'Employees & COBRA Enrollees'!AQ15)","v":""}]
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{"sheet":"ABS Extract","index":6,"n_rows":1,"n_cols":3,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
["Group ID","Primary Group","COV CODE"]