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| NEW line(s): 58,66
<xsd:attribute name="section30191002ElectionInd"> <xsd:simpleType> <xsd:restriction base="StringType"> <xsd:enumeration value="FILED PURSUANT TO SECTION 301.9100-2"/> </xsd:restriction> </xsd:simpleType> </xsd:attribute> |
| OLD line(s): 3248,3287
<!-- Amount Expended on Reimbursement for Clinical Services --> <xsd:element name="ClinicalServicesReimbAmount" type="USAmountType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Amount expended on reimbursement for clinical services</Description> <LineNumber>Schedule H Line 1</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> <!-- Total Premium Revenue as Reported Under Section 2718 of PHSA --> <xsd:element name="PremiumRevReportedSec2718PHSA" type="USAmountType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Total premium revenue as reported under section 2718 of PHSA</Description> <LineNumber>Schedule H Line 2</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> <!-- Percentage of Total Premium Revenue Expended on Reimbursement --> <xsd:element name="PctTotPremRevExpendedOnReimb" type="LargeRatioType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Percentage of total premium revenue expended on reimbursement</Description> <LineNumber>Schedule H Line 3a</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> <!-- Is the Percentage on Line 3a 85% or More? --> <xsd:element name="Line3aEightfivePercentOrMore" type="BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Is the percentage on line 3a 85% or more?</Description> <LineNumber>Schedule H Line 3b</LineNumber> </xsd:documentation> </xsd:annotation> </xsd:element> | NEW line(s): 3256
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<LineNumber>Schedule H Line 4</LineNumber> | NEW line(s): 3262
<LineNumber>Schedule H Line 1</LineNumber> |
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<LineNumber>Schedule H Line 5</LineNumber> | NEW line(s): 3272
<LineNumber>Schedule H Line 2</LineNumber> |
| OLD line(s): 3313
<LineNumber>Schedule H Line 6</LineNumber> | NEW line(s): 3282
<LineNumber>Schedule H Line 3</LineNumber> |
| OLD line(s): 3323
<LineNumber>Schedule H Line 7</LineNumber> | NEW line(s): 3292
<LineNumber>Schedule H Line 4</LineNumber> |
| OLD line(s): 3333
<LineNumber>Schedule H Line 8</LineNumber> | NEW line(s): 3302
<LineNumber>Schedule H Line 5</LineNumber> |
| OLD line(s): 3343
<LineNumber>Schedule H Line 9</LineNumber> | NEW line(s): 3312
<LineNumber>Schedule H Line 6</LineNumber> |
| OLD line(s): 3353
<LineNumber>Schedule H Line 10</LineNumber> | NEW line(s): 3322
<LineNumber>Schedule H Line 7</LineNumber> |
| OLD line(s): 3363
<LineNumber>Schedule H Line 11(a)</LineNumber> | NEW line(s): 3332
<LineNumber>Schedule H Line 8(a)</LineNumber> |
| OLD line(s): 3373
<LineNumber>Schedule H Line 11(b)</LineNumber> | NEW line(s): 3342
<LineNumber>Schedule H Line 8(b)</LineNumber> |
| OLD line(s): 3383
<LineNumber>Schedule H Line 12</LineNumber> | NEW line(s): 3352
<LineNumber>Schedule H Line 9</LineNumber> |
| OLD line(s): 3393
<LineNumber>Schedule H Line 13</LineNumber> | NEW line(s): 3362
<LineNumber>Schedule H Line 10</LineNumber> |
| OLD line(s): 3738
| NEW line(s): 3708,3717
</xsd:element> <!-- Meets Medical Loss Ratio Requirements of Scetion 833(c)(5) --> <xsd:element name="MeetsMedicalLossRatioReqs833c5" type="BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation> <Description>Meets Medical Loss Ratio requirements of Scetion 833(c)(5)</Description> <LineNumber>Schedule I Line 14</LineNumber> </xsd:documentation> </xsd:annotation> |