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[" NHID CY2012 Data Line of Business Survey - Due May 15, 2013"]
["Accident and Health Insurance Underwritten Business In New Hampshire"]
["NHID Contact Information "]
["If you have any questions reqarding this request, contact Karen McCallister at (603) 271-7973, ext. 222 or contact us via e-mail at"]
["MrktConductSurvey@ins.nh.gov"]
[]
["General Instructions"]
[" - Save the completed survey(s) using the following naming convention: CY2012 followed by your 5 digit NAIC Code AND your Company Name, I.e., CY2011_12345_ABC_Ins_Co.xls"]
[" - E-mail Excel file(s) to the e-mail address above.  In the e-mail Subject area, please enter your Company Name(s) and NAIC code(s).  You may submit more than one file per e-mail, but please, only ONE company per Excel file."]
[]
[]
["Company Information"]
[" - Please complete all shaded areas and follow the required formats for State Abbreviation, Zip Codes, Phone, Email."]
[]
["Number of SUBSCRIBERS  as of 12/31/2012"]
[" - Individual products: the number of individual policyholders issued or delivered in NH as of 12/31/2012."]
[" - Group products: for employer-sponsored group coverage sold to a group issued or delivered in NH, the number of Subscribers (usually the employee) covered as of 12/31/2012."]
[]
["Number of COVERED LIVES as of 12/31/2012"]
[" - Covered lives:  includes all persons/members who are covered under an individual policy or group policy issued or delivered in NH. "]
[]
["Number of GROUPS as of 12/31/2012 "]
[" - Individual products: this information is NOT required/requested."]
[" - Group products: the number of groups covered as of 12/31/12"]
[]
["Total PREMIUM for Calendar Year 2012"]
[" - Premium should be reported based on policies issued or delivered in NH.  "]
[]
["ACTIVELY MARKETED in NH during Calendar Year 2012 (Y or N)"]
["For each shaded cell in this column, please enter a:  "]
[" -  Y (Yes) if you actively marketed the product during CY2012 - even if you did not report any business for CY2012;"]
[" -  N (No) if you did not actively market the product during CY2012 - even if you reported business for CY2012;"]
["PLEASE DO NOT LEAVE BLANK, otherwise your filing will be rejected!"]
[]
["Health Saving Accounts (HSA) & High Deductible Health Plan (HDHP)"]
["HSA plans are a combination of a health insurance policy and a separate custodial savings account."]
[" - High Deductible Health Plan (HDHP) - a health insurance policy meeting minimum US Treasury policy design requirements."]
[" - Health Savings Account (HSA) – a separate custodial account which allows you to save money to pay for future medical expenses on an income tax-free basis."]
[]
["Specified Term Insurance"]
[" - Nonrenewable, individual health insurance policies providing medical, hospital, or major medical expense benefits for a specified term (not to exceed 6 months)."]
[]
["Limited Benefit Plans: provide coverage for a particular healthcare setting, ailment or disease."]
[" - Accident Only Coverage – Indemnity coverage that covers death, dismemberment, disability or hospital and medical care caused by an accident."]
[" - Hospital Confinement Indemnity Coverage – Covers a fixed amount for each day that you are in a hospital. "]
[" - Specified Disease Coverage – Covers diagnosis and treatment of a specifically named disease or diseases, such as cancer."]
[" - Basic Hospital Expense Coverage – Covers a period of usually not less than 31 days of continuous in-hospital care and certain hospital services. "]
[" - Basic Medical-Surgical Expense Coverage – Covers costs associated with a necessary surgery, including a certain number of days of in-hospital care. "]
[" - Basic Hospital-Medical-Surgical Expense Coverage – Covers a period of usually not less than 31 days of continuous in-hospital care and certain hospital services and costs associated with a necessary surgery."]
[" - Basic Medical Expense Coverage – Covers hospital, medical and surgical expenses to an aggregate max of not less than $250,000.  Coverage not to exceed 50% of covered charges and oop max shall not exceed $25,000 per year."]
[" - Major Medical Expense Coverage – Covers hospital, medical and surgical expenses to an aggregate max of not less than $500,000.  Coverage not to exceed 50% of covered charges and oop max shall not exceed $10,000 per year."]
[" - Specified Accident Coverage – Covers a specifically identified kind of accident or accidents under an AD&D policy."]
[" - Limited Benefit Health Coverage – Covers benefits that are less than the minimum standards for benefits for policies above, except Specified Disease policies."]
[" - Student Major Medical Expense – Covers policies sold to educational institutions to provide health coverage to students."]
[]
["NHID Questionnaire - General Instructions:  Please enter \"NONE\" or \"0\" if you do not have any business for a particular question."]
[" - Qualified Association: means an association established trust or other entity in existence on January 1, 1995 and providing health coverage within the state of New Hampshire to a least 1,000 employees and/or the dependents of association members (see Reg. 420-G:2, XV for more info). "]
[" - Policies Under Franchise Plan: See Reg 415:19 Policies Under Franchise Plan for more information."]
[" - Non-qualified Association: Any association business that is not \"Qualified\" or \"Franchise\" - see above."]
[" - Professional Employer Organzation (PEO): A service provider utilizating a business relationship that allows outsourcing of human  resource tasks."]
[" - Reinsurance or Stop Loss: Any reinsurance or stop loss coverage - only for NH \"self-insured\" groups."]
[" - Grandfathered Health Plans under PPACA: Please refer to federal regulations."]
[" - Rescission: Retroactive cancellations of coverage, except for those attributable to failure to pay premiums or contributions.   Please see federal regulations for more details."]

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["C O M P A N Y   I N F O R M A T I O N"]
["Company Name"]
["Mailing Address: Line 1"]
["Mailing Address: Line 2"]
["City"]
["State Abbreviation (XX)"]
["9 Digit Zip Code: xxxxx-xxxx"]
["NAIC Code: xxxxx"]
["Contact Name"]
["Contact's Title"]
["Phone Number: xxx-xxx-xxxx",null,null,null,null,"Extension:"]
["Email Address"]
["Null Report - Insert \"X\" in the grey cell to the right if you are submiting a Null Report:"]
[null,{"$f":"+C2","v":0},"Number of SUBSCRIBERS as of \n12/31/12","Number of COVERED LIVES\nas of\n 12/31/12","Number of GROUPS\n as of\n12/31/12","CY2012\n Total\n PREMIUMS","ACTIVELY MARKETED      in NH during\nCY2012\n (Y or N)"]
["ACCIDENT & HEALTH PRODUCTS"]
["M E D I C A R E"]
["Medicare Part D"]
["Medicare Supplemental"]
[null,"Standardized"]
[null,"Pre-standardized"]
[null,"Medicare Select"]
[null,"Medicare Advantage"]
[null,"All Other Medicare Products (See Note 1)"]
[null,"MEDICARE SUPPLEMENTAL TOTALS",{"$f":"SUM(C19:C23)","v":0},{"$f":"SUM(D19:D23)","v":0},{"$f":"SUM(E19:E23)","v":0},{"$f":"SUM(F19:F23)","v":0}]
[null,"MEDICARE TOTALS",{"$f":"+C17+C24","v":0},{"$f":"+D17+D24","v":0},{"$f":"+E17+E24","v":0},{"$f":"+F17+F24","v":0}]
["I N D I V I D U A L   P R O D U C T S"]
["Indemnity"]
[null,"Comprehensive Major Medical"]
[null,"High Deductible Health Plan"]
[null,"Specified Term"]
[null,"INDEMNITY TOTALS",{"$f":"SUM(C28:C30)","v":0},{"$f":"SUM(D28:D30)","v":0},null,{"$f":"SUM(F28:F30)","v":0}]
["Limited Benefits"]
[null,"Accident Only"]
[null,"Hospital Confinement Indemnity Coverage"]
[null,"Specified Disease "]
[null,"Basic Hospital Expense"]
[null,"Basic Medical-Surgical Expense"]
[null,"Basic Hospital-Medical-Surgical Expense"]
[null,"Basic Medical Expense"]
[null,"Major Medical Expense"]
[null,"Specified Accident"]
[null,"Limited Benefit Health"]
[null,"Student Major Medical Expense"]
[null,"LIMITED BENEFITS TOTALS",{"$f":"SUM(C33:C43)","v":0},{"$f":"SUM(D33:D43)","v":0},null,{"$f":"SUM(F33:F43)","v":0}]
["Managed Care"]
[null,"HMO"]
[null,"POS"]
[null,"PPO"]
[null,"High Deductible Health Plan"]
[null,"                MANAGED CARE TOTALS",{"$f":"SUM(C46:C49)","v":0},{"$f":"SUM(D46:D49)","v":0},null,{"$f":"SUM(F46:F49)","v":0}]
["Short Term Disability "]
["Long Term Disability"]
["Dental Insurance"]
["All Other Individual Products (See Note 2)"]
[null,"INDIVIDUAL PRODUCTS TOTALS",{"$f":"SUM(C51:C54)+C31+C44+C50","v":0},{"$f":"SUM(D51:D54)+D31+D44+D50","v":0},null,{"$f":"SUM(F51:F54)+F31+F44+F50","v":0}]
[]
["G R O U P   P R O D U C T S  (Size 1-50)"]
["Indemnity"]
[null,"Comprehensive Major Medical"]
[null,"High Deductible Health Plan"]
[null,"INDEMNITY TOTALS",{"$f":"SUM(C59:C60)","v":0},{"$f":"SUM(D59:D60)","v":0},{"$f":"SUM(E59:E60)","v":0},{"$f":"SUM(F59:F60)","v":0}," "]
["Limited Benefits"]
[null,"Accident Only"]
[null,"Hospital Confinement Indemnity Coverage"]
[null,"Specified Disease "]
[null,"Basic Hospital Expense"]
[null,"Basic Medical-Surgical Expense"]
[null,"Basic Hospital-Medical-Surgical Expense"]
[null,"Basic Medical Expense"]
[null,"Major Medical Expense"]
[null,"Specified Accident"]
[null,"Limited Benefit Health"]
[null,"Student Major Medical Expense"]
[null,"LIMITED BENEFITS TOTALS",{"$f":"SUM(C63:C73)","v":0},{"$f":"SUM(D63:D73)","v":0},{"$f":"SUM(E63:E73)","v":0},{"$f":"SUM(F63:F73)","v":0}]
["Managed Care"]
[null,"HMO"]
[null,"POS"]
[null,"PPO"]
[null,"High Deductible Health Plan"]
[null,"                MANAGED CARE TOTALS",{"$f":"SUM(C76:C79)","v":0},{"$f":"SUM(D76:D79)","v":0},{"$f":"SUM(E76:E79)","v":0},{"$f":"SUM(F76:F79)","v":0}]
["Short Term Disability "]
["Long Term Disability"]
["Dental Insurance"]
["All Other Group Size 1-50 Products (See Note 3)"]
[null,"GROUP PRODUCTS (Size 1-50) TOTALS",{"$f":"SUM(C81:C84)+C61+C74+C80","v":0},{"$f":"SUM(D81:D84)+D61+D74+D80","v":0},{"$f":"SUM(E81:E84)+E61+E74+E80","v":0},{"$f":"SUM(F81:F84)+F61+F74+F80","v":0}]
[]
["G R O U P   P R O D U C T S  (Size 50+)"]
["Indemnity"]
[null,"Comprehensive Major Medical"]
[null,"High Deductible Health Plan"]
[null,"INDEMNITY TOTALS",{"$f":"SUM(C89:C90)","v":0},{"$f":"SUM(D89:D90)","v":0},{"$f":"SUM(E89:E90)","v":0},{"$f":"SUM(F89:F90)","v":0}]
["Limited Benefits"]
[null,"Accident Only"]
[null,"Hospital Confinement Indemnity Coverage"]
[null,"Specified Disease "]
[null,"Basic Hospital Expense"]
[null,"Basic Medical-Surgical Expense"]
[null,"Basic Hospital-Medical-Surgical Expense"]
[null,"Basic Medical Expense"]
[null,"Major Medical Expense"]
[null,"Specified Accident"]
[null,"Limited Benefit Health"]
[null,"Student Major Medical Expense"]
[null,"LIMITED BENEFITS TOTALS",{"$f":"SUM(C93:C103)","v":0},{"$f":"SUM(D93:D103)","v":0},{"$f":"SUM(E93:E103)","v":0},{"$f":"SUM(F93:F103)","v":0}]
["Managed Care"]
[null,"HMO"]
[null,"POS"]
[null,"PPO"]
[null,"High Deductible Health Plan"]
[null,"                MANAGED CARE TOTALS",{"$f":"SUM(C106:C109)","v":0},{"$f":"SUM(D106:D109)","v":0},{"$f":"SUM(E106:E109)","v":0},{"$f":"SUM(F106:F109)","v":0}]
["Short Term Disability "]
["Long Term Disability"]
["Dental Insurance"]
["All Other Group Size 50+ Products (See Note 4)"]
[null,"GROUP PRODUCTS (Size 50+) TOTALS",{"$f":"SUM(C111:C114)+C91+C104+C110","v":0},{"$f":"SUM(D111:D114)+D91+D104+D110","v":0},{"$f":"SUM(E111:E114)+E91+E104+E110","v":0},{"$f":"SUM(F111:F114)+F91+F104+F110","v":0}]
[null,"GROUP PRODUCTS TOTALS",{"$f":"+C85+C115","v":0},{"$f":"+D85+D115","v":0},{"$f":"+E85+E115","v":0},{"$f":"+F85+F115","v":0}]
["L O N G   T E R M   C A R E"]
["LTC - Individual",null,null,null," "]
["LTC - Group"]
[null,"LONG TERM CARE TOTALS",{"$f":"SUM(C118:C119)","v":0},{"$f":"SUM(D118:D119)","v":0},{"$f":"SUM(E118:E119)","v":0},{"$f":"SUM(F118:F119)","v":0}]
[]
[null," GRAND TOTALS",{"$f":"+C25+C55+C116+C120","v":0},{"$f":"+D25+D55+D116+D120","v":0},{"$f":"+E25+E55+E116+E120","v":0},{"$f":"+F25+F55+F116+F120","v":0}]
["Notes 1 - 4, Please provide a brief description of the product(s) and related CY2012 Premiums for each category"]
["Note 1: All Other Medicare Products "]
[]
["Note 2: All Other Individual Products "]
[]
["Note 3: All Other Group (Size 1-50) Products "]
[]
["Note 4: All Other Group (Size 50+) Products "]
[]
[" General Comments, Please provide comments below: "]
[]
["N H I D  Q U E S T I O N N A I R E"]
["Did you have any \"Qualified\" Association NH Business for CY2012?  If yes, please provide the name of each Association(s), Type of product(s), and CY2012 Premiums. Please see Definition/Instruction tab for definiton of a \"Qualified\" Association."]
[]
["Did you have any 415:19 Policies Under Franchise Plan NH Business for CY2012? If yes, please provide name of Franchise entity(ies), Type of product(s), and CY2012 Premiums. Please see Definition/Instructions tab for definiton of  \"Policies Under Franchise Plan\". "]
[]
["Did you have any Non-qualified Association NH Business for CY2012?  If yes, please provide the name of each Association(s), Type of product(s), and CY2012 Premiums. Please see Definition/Instructions tab for definiton of a \"Non-qualified Association\"."]
[]
["Did you have any Professional Employer Organization (\"PEO\") NH business for CY2012?  If yes, please provide the name of each \"PEO\", the number of employees covered, CY2012 Premiums and the names of each employer group. Please see Definition/Instructions tab for definiton of a \"PEO\"."]
[]
["Did you write any Reinsurance or Stop Loss coverage for NH \"self-insured\" business during CY2012?  If yes, please provide the number of Groups, number of Subscribers, number of Covered Lives as of 12/31/12, as well as the associated CY2012 premiums. "]
[]
["Did you have any NH Large Group Grandfathered Business for CY2012?  If yes, please provide the number of groups, number of subscribers, number of covered lives as of 12/31/12, as well as the associated CY2012 premiums.  Please Note:  This data is a subset of the data reported above in the large group section (Group Products size 50+)."]
[]
["Did you have any Rescinded NH Policies for CY2012?  If yes, please provide the number of individual policies rescinded for CY2012 and the number of group policies rescinded for CY2012.  Please see Definition/Instructions tab for definiton of a \"Rescission\"."]
["Individual Policies Rescinded: "]
["\nGroup Policies Rescinded: "]
[]
[]
[]
[]
[null,null,null,null,null,null,"X"]
[]
[null,null,null,null,null,null,"Y"]
[null,null,null,null,null,null,"N"]

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["COMPANY NAME","MAILING ADDRESS: LINE 1","MAILING ADDRESS: LINE 2","CITY","STATE","ZIP","NAIC","CONTACT NAME","CONTACT's TITLE","PHONE #","PHONE Extension","EMAIL","NULL REPORT","Product_Category","Product_Type","Product_ID","Number of SUBSCRIBERS as of 12/31/12","Number of COVERED LIVES         as of 12/31/12","Number of GROUPS as of 12/31/12","CY 2012 Total PREMIUMS","ACTIVELY MARKETED      in NH       during CY 2012              (Y or N)","Notes     1 - 4"]
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[{"$f":"+A2","v":0},{"$f":"+B2","v":0},0,0,0,0,0,0,0,0,0,0,0,"Medicare Products","Medicare Supplemental","Standardized",{"$f":"+'CY2012 Data LOB Survey'!C19","v":0},{"$f":"+'CY2012 Data LOB Survey'!D19","v":0},{"$f":"+'CY2012 Data LOB Survey'!E19","v":0},{"$f":"+'CY2012 Data LOB Survey'!F19","v":0},{"$f":"+'CY2012 Data LOB Survey'!G19","v":0}]
[{"$f":"+A3","v":0},{"$f":"+B3","v":0},{"$f":"+C3","v":0},{"$f":"+D3","v":0},{"$f":"+E3","v":0},{"$f":"+F3","v":0},{"$f":"+G3","v":0},{"$f":"+H3","v":0},{"$f":"+I3","v":0},{"$f":"+J3","v":0},{"$f":"+K3","v":0},{"$f":"+L3","v":0},{"$f":"+M3","v":0},"Medicare Products","Medicare Supplemental","Pre-standardized",{"$f":"+'CY2012 Data LOB Survey'!C20","v":0},{"$f":"+'CY2012 Data LOB Survey'!D20","v":0},{"$f":"+'CY2012 Data LOB Survey'!E20","v":0},{"$f":"+'CY2012 Data LOB Survey'!F20","v":0},{"$f":"+'CY2012 Data LOB Survey'!G20","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Medicare Products","Medicare Supplemental","Medicare Select",{"$f":"+'CY2012 Data LOB Survey'!C21","v":0},{"$f":"+'CY2012 Data LOB Survey'!D21","v":0},{"$f":"+'CY2012 Data LOB Survey'!E21","v":0},{"$f":"+'CY2012 Data LOB Survey'!F21","v":0},{"$f":"+'CY2012 Data LOB Survey'!G21","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Medicare Products","Medicare Supplemental","Medicare Advantage",{"$f":"+'CY2012 Data LOB Survey'!C22","v":0},{"$f":"+'CY2012 Data LOB Survey'!D22","v":0},{"$f":"+'CY2012 Data LOB Survey'!E22","v":0},{"$f":"+'CY2012 Data LOB Survey'!F22","v":0},{"$f":"+'CY2012 Data LOB Survey'!G22","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Medicare Products","Medicare Supplemental","All Other Medicare Products",{"$f":"+'CY2012 Data LOB Survey'!C23","v":0},{"$f":"+'CY2012 Data LOB Survey'!D23","v":0},{"$f":"+'CY2012 Data LOB Survey'!E23","v":0},{"$f":"+'CY2012 Data LOB Survey'!F23","v":0},{"$f":"+'CY2012 Data LOB Survey'!G23","v":0},{"$f":"+'CY2012 Data LOB Survey'!C124","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Individual Products","Indemnity","Comprehensive Major Medical",{"$f":"+'CY2012 Data LOB Survey'!C28","v":0},{"$f":"+'CY2012 Data LOB Survey'!D28","v":0},null,{"$f":"+'CY2012 Data LOB Survey'!F28","v":0},{"$f":"+'CY2012 Data LOB Survey'!G28","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Individual Products","Indemnity","High Deductible Health Plan",{"$f":"+'CY2012 Data LOB Survey'!C29","v":0},{"$f":"+'CY2012 Data LOB Survey'!D29","v":0},null,{"$f":"+'CY2012 Data LOB Survey'!F29","v":0},{"$f":"+'CY2012 Data LOB Survey'!G29","v":0}]
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[0,0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","Managed Care","PPO",{"$f":"+'CY2012 Data LOB Survey'!C108","v":0},{"$f":"+'CY2012 Data LOB Survey'!D108","v":0},{"$f":"+'CY2012 Data LOB Survey'!E108","v":0},{"$f":"+'CY2012 Data LOB Survey'!F108","v":0},{"$f":"+'CY2012 Data LOB Survey'!G108","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","Managed Care","High Deductible Health Plan",{"$f":"+'CY2012 Data LOB Survey'!C109","v":0},{"$f":"+'CY2012 Data LOB Survey'!D109","v":0},{"$f":"+'CY2012 Data LOB Survey'!E109","v":0},{"$f":"+'CY2012 Data LOB Survey'!F109","v":0},{"$f":"+'CY2012 Data LOB Survey'!G109","v":0}]
[{"$f":"+A67","v":0},0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","Short Term Disability","Short Term Disability",{"$f":"+'CY2012 Data LOB Survey'!C111","v":0},{"$f":"+'CY2012 Data LOB Survey'!D111","v":0},{"$f":"+'CY2012 Data LOB Survey'!E111","v":0},{"$f":"+'CY2012 Data LOB Survey'!F111","v":0},{"$f":"+'CY2012 Data LOB Survey'!G111","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","Long Term Disability","Long Term Disability",{"$f":"+'CY2012 Data LOB Survey'!C112","v":0},{"$f":"+'CY2012 Data LOB Survey'!D112","v":0},{"$f":"+'CY2012 Data LOB Survey'!E112","v":0},{"$f":"+'CY2012 Data LOB Survey'!F112","v":0},{"$f":"+'CY2012 Data LOB Survey'!G112","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","Dental Insurance","Dental Insurance",{"$f":"+'CY2012 Data LOB Survey'!C113","v":0},{"$f":"+'CY2012 Data LOB Survey'!D113","v":0},{"$f":"+'CY2012 Data LOB Survey'!E113","v":0},{"$f":"+'CY2012 Data LOB Survey'!F113","v":0},{"$f":"+'CY2012 Data LOB Survey'!G113","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Group Products (Size 50+)","All Other","All Other Group Size 50+ Products",{"$f":"+'CY2012 Data LOB Survey'!C114","v":0},{"$f":"+'CY2012 Data LOB Survey'!D114","v":0},{"$f":"+'CY2012 Data LOB Survey'!E114","v":0},{"$f":"+'CY2012 Data LOB Survey'!F114","v":0},{"$f":"+'CY2012 Data LOB Survey'!G114","v":0},{"$f":"+'CY2012 Data LOB Survey'!C130","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Long Term Care Products","Long Term Care","LTC - Individual",{"$f":"+'CY2012 Data LOB Survey'!C118","v":0},{"$f":"+'CY2012 Data LOB Survey'!D118","v":0},null,{"$f":"+'CY2012 Data LOB Survey'!F118","v":0},{"$f":"+'CY2012 Data LOB Survey'!G118","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Long Term Care Products","Long Term Care","LTC - Group",{"$f":"+'CY2012 Data LOB Survey'!C119","v":0},{"$f":"+'CY2012 Data LOB Survey'!D119","v":0},{"$f":"+'CY2012 Data LOB Survey'!E119","v":0},{"$f":"+'CY2012 Data LOB Survey'!F119","v":0},{"$f":"+'CY2012 Data LOB Survey'!G119","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"General Comments","General Comments","General Comments",{"$f":"+'CY2012 Data LOB Survey'!A133","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Qualified Association","Qualified Association","Qualified Association",{"$f":"+'CY2012 Data LOB Survey'!A136","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Franchise Plan","Franchise Plan","Franchise Plan",{"$f":"+'CY2012 Data LOB Survey'!A138","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Non-Qualified Association","Non-Qualified Association","Non-Qualified Association",{"$f":"+'CY2012 Data LOB Survey'!A140","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Professional Employer Organization (PEO)","Professional Employer Organization (PEO)","Professional Employer Organization (PEO)",{"$f":"+'CY2012 Data LOB Survey'!A142","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Reinsurance or Stop Loss","Reinsurance or Stop Loss","Reinsurance or Stop Loss",{"$f":"+'CY2012 Data LOB Survey'!A144","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Grandfathered Large Group","Grandfathered Large Group","Grandfathered Large Group",{"$f":"+'CY2012 Data LOB Survey'!A146","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Rescinded Policies","Rescinded Policies","Rescinded Policies Individual",{"$f":"+'CY2012 Data LOB Survey'!C148","v":0}]
[0,0,0,0,0,0,0,0,0,0,0,0,0,"Rescinded Policies","Rescinded Policies","Rescinded Policies Group",{"$f":"+'CY2012 Data LOB Survey'!C149","v":0}]