pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	esrd_enroll_b0006	esrd_enroll_b0007	esrd_enroll_b0008	esrd_enroll_b0009	esrd_enroll_b0010	esrd_enroll_c0001	esrd_enroll_c0002	esrd_enroll_c0003	esrd_enroll_d0005	esrd_enroll_d0006	esrd_enroll_d0007	esrd_enroll_e0018	esrd_enroll_f0018	esrd_enroll_g0018	esrd_enroll_i0002	esrd_enroll_i0003	esrd_enroll_i0006	esrd_enroll_i0007	esrd_enroll_i0008	esrd_enroll_i0009	esrd_enroll_i0010	esrd_enroll_i0011	esrd_enroll_i0018
H0544	015	0	1	01	01	H0544_015_0	5	2021	H0544_015_00	BLUE CROSS OF CALIFORNIA	Los Angeles, Los Angeles, Orange	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H0544	015	000	19521.808297	1.04706858107967	8314.39952893642	0.173	0.215	0	8657.87103703541	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	4	Not applicable	8657.87103703541
H0544	020	0	1	01	01	H0544_020_0	5	2021	H0544_020_00	BLUE CROSS OF CALIFORNIA	San Bernardino	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H0544	020	000	3639.497021	1.02647638602205	8423.72063959833	0.173	0.215	0	8537.15793437316	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	4	Not applicable	8537.15793437316
H2593	031	0	1	02	01	H2593_031_0	5	2021	H2593_031_00	AMERIGROUP TEXAS, INC.	Bexar, Comal, El Paso, Hays, Travis, Williamson	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H2593	031	000	5082.106076	1.00647814195096	7814.68852315525	0.173	0.215	0	7857.50116423514	22.5	LOW INCOME PREMIUM SUBSIDY AMOUNT	3	Not applicable	7857.50116423514
H2593	040	0	1	01	01	H2593_040_0	6	2021	H2593_040_00	AMERIGROUP TEXAS, INC.	Pima	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H2593	040	000	1158.705607	1.01889784048806	7471.17180852293	0.173	0.215	0	7570.75742245439	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	7570.75742245439
H3240	017	0	1	02	01	H3240_017_0	5	2021	H3240_017_00	AMERIGROUP NEW JERSEY, INC.	Bergen, Essex, Hudson, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Union	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H3240	017	000	5042.715751	1.01829571374819	8842.67197835601	0.173	0.215	0	8945.2575522102	27.1	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	8945.2575522102
H5854	012	0	1	02	01	H5854_012_0	5	2021	H5854_012_00	ANTHEM HEALTH PLANS, INC.	Fairfield, Hartford, Litchfield, Middlesex, New Haven, Tolland	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H5854	012	000	1720.177921	1.03071953889263	8193.60000381959	0.173	0.215	0	8438.7405288074	16.4	LOW INCOME PREMIUM SUBSIDY AMOUNT	4	Not applicable	8438.7405288074
H5943	001	0	1	02	01	H5943_001_0	7	2021	H5943_001_00	SCAN HEALTH PLAN	Riverside, San Bernardino	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H5943	001	000	8818.55447723862	1.04125563619942	8116.35588248217	0.173	0.215	0	8435.36913763326	31.5	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	8435.36913763326
H5943	002	0	1	02	01	H5943_002_0	8	2021	H5943_002_00	SCAN HEALTH PLAN	Los Angeles	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H5943	002	000	7251.2845659164	1.03818600467772	8625.2406022409	0.173	0.215	0	8938.49793680335	31.5	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	8938.49793680335
H8552	028	0	1	04	01	H8552_028_0	5	2021	H8552_028_00	ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY	Fresno, Kern, Kings, Madera, Merced, Monterey, San Diego, San Joaquin, San Luis Obispo, Stanislaus, Tulare, Ventura	ESRD SNP	ESRD-2021.1	OMB Approved # 0938-0944	(Expires: 1/31/2022)	H8552	028	000	13429.34384	1.01122957572198	8636.65213761256	0.173	0.215	0	8721.12702047442	31.5	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	8721.12702047442
