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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CLAIM REFUNDS NETTED WITH CLAIMS PAID 80,404 STOP LOSS INSURANCE REIMBURSEMENTS NETTED WITH CLAIMS PAID 0 CLAIMS REFUNDS NETTED WITH CLAIMS PAID -80,404 STOP LOSS INSURANCE REIMBURSEMENTS NETTED WITH CLAIMS PAID 0 CHANGE IN CLAIMS PAYABLE -107,881</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN CLAIMS PAYABLE 107,881</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>