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        <TotalAmt>74041</TotalAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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      <LandBldgEquipAccumDeprecAmt>763278</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>149366</BOYAmt>
        <EOYAmt>214898</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>500000</EOYAmt>
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        <EOYAmt>78166883</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>199182</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>22039604</BOYAmt>
        <EOYAmt>23963075</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>22170688</BOYAmt>
        <EOYAmt>24162257</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>45476799</BOYAmt>
        <EOYAmt>54004626</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>45476799</BOYAmt>
        <EOYAmt>54004626</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>67647487</BOYAmt>
        <EOYAmt>78166883</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7036338</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-794124</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>2285613</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc3">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>978176</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>763278</DepreciationAmt>
        <BookValueAmt>214898</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>214898</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED LIABILITY FOR IBNR</Desc>
        <Amt>20949700</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE PREM AND CLAIMS PAYABLE</Desc>
        <Amt>3013375</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>23963075</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>124315967</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>124315967</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>124315967</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>115360158</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>115360158</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1919471</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1919471</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>117279629</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN IBNR AND CLAIMS PAYABLE 1,919,471</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE AFFORDABLE HEALTH CARE FOR ITS MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY THE FUND'S INDEPENDENT CERIFIED PUBLIC ACCOUNTANT WHICH ALSO PERFORMS AN AUDIT OF THE FUND'S BOOKS AND RECORDS. THE RETURN IS THEN PROVIDED TO THE TRUSTEES FOR REVIEW AND SIGNATURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUND IS SUBJECT TO ERISA AND THE TRUSTEES CONFORM TO ITS REGULATIONS. SECTION 404 AND 406 CONTAIN STRICT FIDUCIARY RULES AND CONFLICTS OF INTEREST PROHIBITIONS. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA. OUTSIDE PROFESSIONALS ASSIST WITH THE COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND TAX RETURNS ARE AVAILABLE UPON REQUEST BY WRITING THE FUND'S ADMINISTRATOR AND REQUESTING A COPY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON SALE OF SECURITIES 2,285,613</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>