Form CMS-10418 MLP Annual Report

Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418)

2013_MLR-A_Template_04.00v2.xlsx

Annual MLR Report

OMB: 0938-1164

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1164 can be found here:

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Overview

Pt 1 Summary of Data
Pt 2 Premium and Claims
Pt 3 Expense Allocation
Pt 4 MLR and Rebate Calculation
Pt 5 Rebate Disbursement
Pt 6 Additional Responses
Attestation
Tables

Sheet 1: Pt 1 Summary of Data

Department of Health and Human Services

2013 Medical Loss Ratio Reporting Form

Part 1 - Summary of Data

Group Affiliation:

Federal EIN :

Federal Tax Exempt

Company Name:

A.M. Best Number:

Issuer ID:

Merge Markets - Ind/SmGrp

DBA / Marketing Name:

NAIC Group Code:

Business in the State of:

Not-For-Profit

Address:

NAIC Company Code:

Domiciliary State:

MLR Reporting Year:

2013

Health Insurance Coverage

Mini-Med Plans

Expatriate Plans

Student Health Plans

Government Program Plans

Other Health Business

Aggregate 2% Rule

Uninsured Plans

Individual

Small Group

Large Group

Individual

Small Group

Large Group

Small Group

Large Group

Individual

Part 1
NOTE: REFER TO MLR INSTRUCTIONS, FORMULAS RESOURCE AND TABLES RESOURCE FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.

NAIC Supp. Health Care Exhibit Line

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/13

Dual Contract (Included in 3/31/13)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/13

Dual Contract (Included in 3/31/13)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Premium

1.1

Total direct premium earned

Pt 1, Ln 1.1

1.2

Federal high risk pools

Pt 1, Ln 1.2

1.3

State high risk pools

Pt 1, Ln 1.3

1.4

Net assumed less ceded reinsurance premium earned (exclude amounts already reported in Line 1.1)

Pt 1, Ln 1.9

1.5

Other adjustments due to MLR calculations - premium

Pt 1, Ln 1.10

1.6

Risk revenue

Pt 1, Ln 1.11

Claims

2.1

Total incurred claims (MLR Form Part 2, Line 2.16)

Pt 1, Ln 5.0

2.2

Prescription drugs
(informational only; already included in total incurred claims above)

Pt 1, Ln 2.2

2.3

Pharmaceutical rebates
(informational only; already excluded from total incurred claims above)

Pt 1, Ln 2.3

2.4

State stop loss, market stabilization and claim/census based assessments
(informational only; already excluded from total incurred claims above)

Pt 1, Ln 2.4

2.5

Net assumed less ceded claims incurred (exclude amounts already reported in Line 2.1)

Pt 1, Ln 5.1

2.6

Other adjustments due to MLR calculations – claims incurred

Pt 1, Ln 5.2

2.7

Rebates paid

Pt 1, Ln 5.3

2.8

Estimated rebates unpaid at the end of the previous MLR reporting year

Pt 1, Ln 5.4

2.9

Estimated rebates unpaid at the end of the MLR reporting year

Pt 1, Ln 5.5

2.10

Fee-for-service and co-pay revenue (net of expenses)

Pt 1, Ln 5.6

2.11

Allowable fraud reduction expenses (MLR Form Part 2, Line 2.17)

Pt 1, Ln 4

Federal and State Taxes and Licensing or Regulatory Fees

3.1

Federal taxes and assessments incurred by the reporting issuer during the MLR reporting year

Pt 1, Ln 1.5

3.1 a Federal income taxes deductible from premium in MLR calculations

3.1 b Patient Centered Outcomes Research Institute (PCORI) Fee

3.1 c Other Federal Taxes (other than income tax) and assessments deductible from premium

3.2

State insurance, premium and other taxes incurred by the reporting issuer during the MLR reporting year (deductible from premium in MLR calculation)

Pt 1, Ln 1.6

3.2 a State income, excise, business, and other taxes

3.2 b State premium taxes

3.2 c Community benefit expenditures deductible from premium in MLR calculations

Pt 1, Ln 1.6a

3.3

Regulatory authority licenses and fees

Pt 1, Ln 1.7

Health Care Quality Improvement Expenses Incurred

4.1

Improve health outcomes

Pt 1, Ln 6.1

4.2

Activities to prevent hospital readmission

Pt 1, Ln 6.2

4.3

Improve patient safety and reduce medical errors

Pt 1, Ln 6.3

4.4

Wellness and health promotion activities

Pt 1, Ln 6.4

4.5

Health information technology expenses related to improving health care quality

Pt 1, Ln 6.5

4.6

Allowable Implementation ICD-10 expenses (not to exceed 0.3% of premium)

Pt 1, Ln 16a

Non-Claims Costs

5.1

Cost containment expenses not included in quality improvement expenses in Section 4

Pt 1, Ln 8.1

5.2

All other claims adjustment expenses

Pt 1, Ln 8.2

5.3

Direct sales salaries and benefits

Pt 1, Ln 10.1

5.4

Agents and brokers fees and commissions

Pt 1, Ln 10.2

5.5

Other taxes

5.5a Taxes and assessments (exclude amounts reported in Section 3 or Line 10)

5.5b Fines and penalties of regulatory authorities (exclude amounts reported in Line 3.3)

5.6

Other general and administrative expenses

5.7

Community benefit expenditures (informational only; include amounts reported in Lines 3.2c and 5.6)

Pt 1, Ln 10.4a

5.8

ICD-10 implementation expenses (informational only; include amounts reported in Lines 4.6 and 5.6)

Pt 1, Ln 16

Income from fees of uninsured plans

Pt 1, Ln 12

Other Indicators or information

7.1

Number of policies/certificates

Pt 1 Other, Ln 1

7.2

Number of covered lives

Pt 1 Other, Ln 2

7.3

Number of groups

Pt 1 Other, Ln 3

7.4

Member months

Pt 1 Other, Ln 4

7.5

Number of life-years

Grand Total as of 12/31/12 for ALL markets in col. 1-43

Net investment income and other gain / (loss)

Pt 1, Ln 13

Other Federal income taxes (exclude taxes on Line 3.1a, 3.1b, and 3.1c)

Pt 1, Ln 14

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Sheet 2: Pt 2 Premium and Claims

Department of Health and Human Services

2013 Medical Loss Ratio Reporting Form

Part 2 - Premium and Claims

Group Affiliation:

Federal EIN :

Federal Tax Exempt

Company Name:

A.M. Best Number:

Issuer ID:

Merge Markets - Ind/SmGrp

DBA / Marketing Name:

NAIC Group Code:

Business in the State of:

Not-For-Profit

Address:

NAIC Company Code:

Domiciliary State:

MLR Reporting Year:

2013

Health Insurance Coverage

Mini-Med Plans

Expatriate Plans

Student Health Plans

Government Program Plans

Other Health Business

Aggregate 2% Rule

Uninsured Plans

Individual

Small Group

Large Group

Individual

Small Group

Large Group

Small Group

Large Group

Individual

Part 2
NOTE: REFER TO MLR INSTRUCTIONS, FORMULAS RESOURCE AND TABLES RESOURCE FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.

NAIC Supp. Health Care Exhibit Line

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Total as of 12/31/13

Total as of 3/31/13

Dual Contract (Included in 3/31/13)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/13

Dual Contract (Included in 3/31/13)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Total as of 3/31/14

Dual Contract (Included in 3/31/14)

Deferred PY1 (Add)

Deferred CY (Subtract)

Total as of 12/31/13

Premium:

1.1

Direct premium written

Pt 2, Ln 1.1

1.2

Unearned premium prior year

Pt 2, Ln 1.2

1.3

Unearned premium MLR Reporting year

Pt 2, Ln 1.3

1.4

Experience rating refunds (rate credits) paid

1.4a Experience rating refunds, with all incurred dates, paid in the MLR reporting year

Pt 2, Ln 1.5

1.4b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year

1.5

Reserve for experience rating refunds (rate credits) MLR Reporting year

Pt 2, Ln 1.6

1.6

Reserve for experience rating refunds (rate credits) prior year

Pt 2, Ln 1.7

1.7

Premium balances written off

Pt 2, Ln 1.9

1.8

Group conversion charges

Pt 2, Ln 1.10

1.9

Premium ceded under 100% reinsurance (informational only; excluded from Line 1.1)

1.10

Premium assumed under 100% reinsurance (informational only; already included in Line 1.1)

Claims:

2.1

Claims Paid

2.1a Claims paid during the MLR reporting year regardless of incurred date

Pt 2, Ln 2.1

2.1b Claims incurred only during the MLR reporting year, paid through 3/31 of the following year

2.2

Direct claim liability

2.2a Liability as of 12/31 of MLR reporting year for all claims regardless of incurred date

Pt 2, Ln 2.2

2.2b Liability for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year

2.3

Direct claim liability prior year

Pt 2, Ln 2.3

2.4

Direct claim reserves

2.4a Reserves as of 12/31 of MLR reporting year for all claims regardless of incurred date

Pt 2, Ln 2.4

2.4b Reserves for claims incurred only during the MLR reporting year, calculated as of 3/31 of the following year

2.5

Direct claim reserves prior year

Pt 2, Ln 2.5

2.6

Direct contract reserves

2.6a Direct contract reserves 12/31 column

Pt 2, Ln 2.6

2.6b Direct contract reserves 3/31, dual contract, deferred columns

2.7

Direct contract reserves prior year

Pt 2, Ln 2.7

2.8

Experience rating refunds (rate credits) paid

2.8a Experience rating refunds, with all incurred dates, paid in the MLR reporting year

Pt 2, Ln 2.8

2.8b Experience rating refunds associated with premium earned only in the reporting year and paid through 3/31 of the following year

2.9

Reserve for experience rating refunds (rate credits)

2.9a Reserved in MLR reporting year regardless of incurred date

Pt 2, Ln 2.9

2.9b Reserves specific to the MLR reporting year through 3/31 of the following year

2.10

Reserve for experience rating refunds (rate credits) prior year

Pt 2, Ln 2.10

2.11

Incurred medical incentive pool and bonuses

2.11a Paid medical incentive pools and bonuses MLR Reporting year

Pt 2, Ln 2.11a

2.11b Accrued medical incentive pools and bonuses MLR Reporting year

Pt 2, Ln 2.11b

2.11c Accrued medical incentive pools and bonuses prior year

Pt 2, Ln 2.11c

2.12

Net healthcare receivables

2.12a Healthcare receivables MLR Reporting year

Pt 2, Ln 2.12a

2.12b Healthcare receivables prior year

Pt 2, Ln 2.12b

2.13

Contingent benefit and lawsuit reserves

2.14

Group conversion charges

Pt 2, Ln 2.13

2.15

Blended rate adjustment

Pt 2, Ln 2.14

2.16

Total incurred claims

Pt 2, Ln 2.15

2.17

Allowable fraud reduction expense (the smaller of Lines 2.17a or 2.17b)

Pt 1, Ln 4

2.17a Total fraud reduction expense

Pt 3, Col 7, Ln 1.11/ 2.11/3.11/5.11/6.11

2.17b Total fraud recoveries that reduced paid claims in Line 2.1

Pt 2, Ln 3

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Sheet 3: Pt 3 Expense Allocation

Department of Health and Human Services			Federal EIN :	DBA / Marketing Name:	Federal Tax Exempt
2013 Medical Loss Ratio Reporting Form
Part 3 - Expense Allocation			A.M. Best Number:	Issuer ID:	Merge Markets - Ind/SmGrp

Group Affiliation:			NAIC Group Code:	Business in the State of:	Not-For-Profit

Company Name:			NAIC Company Code:	Domiciliary State:	MLR Reporting Year:
					2013


Description of Expense Element (by Type)	NEW	Detailed Description of Expense Allocation Methods
1	2	3
1. Incurred Claims




















2. Federal and State Taxes and Licensing or Regulatory Fees
2.a Federal taxes and assessments






2.b State insurance, premium and other taxes






2.c Community benefit expenditures






2.d Regulatory authority licenses and fees






3. Quality Improvement Expenses
3.a Improve health outcomes










3.b Activities to prevent hospital readmission










3.c Improve patient safety and reduce medical errors










3.d Wellness and health promotion activities










3.e Health Information Technology expenses related to healthcare quality










3.f Allowable ICD-10 Expenses










4. Non-Claims costs
4.a Cost containment expenses not included in quality improvement expenses










4.b All other claims adjustment expenses










4.c Direct sales salaries and benefits










4.d Agents and brokers fees and commissions










4.e Other taxes










4.f Other general and administrative expenses










4.g Community benefit expenditures










4.h ICD-10 implementation expenses











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Sheet 4: Pt 4 MLR and Rebate Calculation

Department of Health and Human Services

Federal EIN :

DBA / Marketing Name:

Federal Tax Exempt

2013 Medical Loss Ratio Reporting Form

Part 4 - MLR and Rebate Calculation

A.M. Best Number:

Issuer ID:

Merge Markets - Ind/SmGrp

Group Affiliation:

NAIC Group Code:

Business in the State of:

Not-For-Profit

Company Name:

NAIC Company Code:

Domiciliary State:

MLR Reporting Year:

2013

Health Insurance Coverage

Mini-Med Plans

Expatriate Plans

Student Health Plans

Individual

Small Group

Large Group

Individual

Small Group

Large Group

Small Group

Large Group

Individual

Part 4
NOTE: REFER TO MLR INSTRUCTIONS, FORMULAS RESOURCE AND TABLES RESOURCE FOR IMPORTANT INFORMATION ABOUT COMPLETING EACH COLUMN AND ROW.

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

PY2

PY1

Total

Medical Loss Ratio Numerator

1.1

Adjusted incurred claims as reported on MLR Form for prior year(s)

1.2

Adjusted incurred claims as of 3/31 of the year following the MLR reporting year

1.3

Improving Health Care Quality Expenses

1.4

MLR rebates paid based on 2011 or 2012 experience

1.5

MLR numerator

1.6

MLR numerator Mini-Med and Student Health
(using adjustment factor).

Medical Loss Ratio Denominator

2.1

Premium earned including Federal and State high risk programs

2.2

Federal and State taxes and licensing or regulatory fees

2.3

MLR Denominator (Line 2.1 - Line 2.2)

Credibility Adjustment

3.1

Life-years

3.2

Base credibility factor

3.3

Average deductible

3.4

Deductible factor

3.5

Credibility adjustment (Lines 3.2 x 3.4 (do not round))

MLR Calculation (for issuers with at least 1,000 life years in the Total column of Line 3.1)

4.1

Preliminary MLR

4.1a Preliminary MLR (Lines 1.5 / 2.3)

4.1b Preliminary MLR: Mini-Med and Student Health
(Lines 1.6 / 2.3)

4.2

Credibility adjustment (Line 3.5, if applicable)

4.3

Credibility-adjusted MLR (Lines 4.1a or 4.1b + 4.2)

Rebate Calculation

5.1

MLR standard

5.2

Credibility-adjusted MLR (Line 4.3)

5.3

Adjusted earned premium (Line 2.1 - 2.2 CY)

5.4

Rebate amount if credibility-adjusted MLR is less than MLR standard (Lines (5.1 - 5.2) X 5.3)

Optional temporary adjustments

6.1

ACA assessments on non-calendar year policies (2013 only)

6.1a Deferred portion of 2013 premium collected for 2014 ACA
assessments or fees.

6.1b Total Federal and State taxes associated with the deferred premium
on Line 6.1a.

6.2

Reserved for future use

6.2a Reserved for future use

6.2b Reserved for future use

6.2c Reserved for future use

6.2d Reserved for future use

6.2e Reserved for future use

6.2f Reserved for future use

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Sheet 5: Pt 5 Rebate Disbursement

Department of Health and Human Services			Federal EIN :			DBA / Marketing Name:			Federal Tax Exempt
2013 Medical Loss Ratio Reporting Form
Part 5 - Rebate Disbursement			A.M. Best Number:			Issuer ID:			Merge Markets - Ind/SmGrp

Group Affiliation:			NAIC Group Code:			Business in the State of:			Not-For-Profit

Company Name:			NAIC Company Code:			Domiciliary State:			MLR Reporting Year:
									2013

		Health Insurance Coverage			Mini-Med Plans			Expatriate Plans		Student Health Plans
		Individual	Small Group	Large Group	Individual	Small Group	Large Group	Small Group	Large Group	Individual
		1	2	3	4	5	6	7	8	9
1.	Number of policies / certificates (from Part 1, Line 7.1)

2.	Number of policyholders/subscribers owed rebates
	2.a Number of group policyholders being paid a rebate
	2.b Number of subscribers being paid a rebate
	2.c Number of group policyholders whose rebate is de minimis
	2.d Number of subscribers whose rebate is de minimis

3.	Total amount of rebates
	3.a Total amount of rebates (from Part 4, Line 5.4)
	3.b Amount of de minimis rebates
	3.c Amount of rebates being paid by premium credit
	3.d Amount of rebates being paid by lump-sum reimbursement

4.	Prior MLR year rebates
	4.a Total amount of rebates paid for the previous MLR reporting year
	4.b Total amount of rebates still owed for the previous MLR reporting year
	4.c Percentage of notices sent timely to individual policy subscribers or group policyholders owed a rebate
	4.d Percentage of notices sent timely to subscribers of group policies owed a rebate
	4.e Percentage of rebates paid timely to individual policy subscribers or group policyholders owed a rebate
	4.f Percentage of rebates paid timely to subscribers of group policies owed a rebate
	4.g Amount of unclaimed rebates from prior MLR reporting years
	4.h Describe methods used to locate policyholders/subscribers for prior MLR reporting year's unclaimed rebates:
	4.i Describe disbursement of prior MLR reporting year's unclaimed rebates:


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Sheet 6: Pt 6 Additional Responses

Department of Health and Human Services		Federal EIN :	DBA / Marketing Name:	Federal Tax Exempt
2013 Medical Loss Ratio Reporting Form
Part 6 - Additional Responses		A.M. Best Number:	Issuer ID:	Merge Markets - Ind/SmGrp

Group Affiliation:		NAIC Group Code:	Business in the State of:	Not-For-Profit

Company Name:		NAIC Company Code:	Domiciliary State:	MLR Reporting Year:
				2013


	Tax Rate
1. If an amount is reported in Part 1 Line 3.2c, Community benefit expenditures, provide the state premium tax rate used to determine the reported amount:

2. If the issuer reported amounts in Part 2 Line 2.15 Blended rate adjustment provide the affiliate(s) name(s) with whom blended rate adjustments were made.
Name of Affiliate












3. If the issuer reported amounts in the Dual Contract 3/31 Columns provide the affiliate(s) name(s) with whom experience is being reported.
Name of Affiliate












4. If the issuer entered into any 100% assumptive reinsurance agreements with a novation during the MLR reporting year, provide the name(s) of the entity(ies) with whom the agreement was (were) made and the effective date of the novation.
Name of Entity with whom Agreement was made		Effective Date of Novation












5. If the Issuer novated any business in the MLR reporting year effective during the reporting year provide the name of the entity to whom the business was sold or transferred and the date of the sale or transfer.
Name of Entity to whom business was sold or transferred		Effective Date of sale or transfer











6. If the issuer has any 100% indemnity reinsurance and administrative agreements effective prior to March 23, 2010, for which the assuming entity is responsible for 100% of the ceding entity's financial risk and takes on all of the administration of the block, report the name(s) of the entity(ies) that is (are) reporting the experience related to such business.




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Sheet 7: Attestation

Department of Health and Human Services

2013 Medical Loss Ratio Reporting Form

Federal Tax Exempt

Group Affiliation:

Federal EIN :

Issuer ID:

Merge Markets - Ind/SmGrp

Company Name:

A.M. Best Number:

Business in the State of:

Not-for-Profit

DBA/Marketing Name:

NAIC Group Code:

Domiciliary State:

MLR Reporting Year:

2013

Address:

NAIC Company Code:

Attestation Statement

The officers of this reporting issuer being duly sworn, each attest that he/she is the described officer of the reporting issuer, and that this MLR Reporting Form, the Company/Issuer Associations, and any supplemental submission that the issuer includes are full and true statements of all the elements included therein for the MLR reporting year stated above, and that the MLR Reporting Form has been completed in accordance with the Department of Health and Human Services’ reporting instructions, according to the best of his/her information, knowledge and belief. Furthermore, the scope of this attestation by the described officer includes any related electronic filings and postings for the MLR reporting year stated above and which are required by Department of Health and Human Services under section 2718 of the Public Health Service Act and implementing regulation.

____________________________

Chief Executive Officer/President

____________________________

Chief Financial Officer

Sheet 8: Tables

Table 1		Table 3	Table 4	Table 5
Base Credibility Adjustment Factors		State and Territory Names	Reporting Years	Yes/No
Life Years	Base credibility factor	Alaska	2011	Yes
-	0.0%	Alabama	2012	No
1,000	8.3%	Arkansas	2013
2,500	5.2%	American Samoa	2014
5,000	3.7%	Arizona	2015
10,000	2.6%	California	2016
25,000	1.6%	Canada	2017
50,000	1.2%	Colorado	2018
75,000	0.0%	Connecticut	2019
		District of Columbia	2020
		Delaware	2021
Table 2		Florida	2022
Deductible Factors		Georgia	2023
Average Health Plan Deductible	Deductible factor	Guam	2024
$0	1.000	Hawaii	2025
$2,500	1.164	Iowa	2026
$5,000	1.402	Idaho	2027
$10,000	1.736	Illinois	2028
		Indiana	2029
		Kansas	2030
		Kentucky	2031
		Louisiana	2032
		Massachusetts	2033
		Maryland	2034
		Maine	2035
		Michigan	2036
		Minnesota	2037
		Missouri	2038
		MP	2039
		Mississippi	2040
		Montana	2041
		North Carolina	2042
		North Dakota	2043
		Nebraska	2044
		New Hampshire	2045
		New Jersey	2046
		New Mexico	2047
		Nevada	2048
		New York	2049
		Ohio	2050
		Oklahoma	2051
		Oregon	2052
		Other Territories	2053
		Pennsylvania	2054
		Puerto Rico	2055
		Rhode Island	2056
		South Carolina	2057
		South Dakota	2058
		Tennessee	2059
		Texas	2060
		Utah
		Virginia
		Virgin Islands
		Vermont
		Washington
		Wisconsin
		West Virginia
		Wyoming
		Grand Total

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