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	8	2022	H0544_015_00	BLUE CROSS OF CALIFORNIA	Los Angeles, Los Angeles, Orange	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H0544	015	000	17306.951436	1.01627691946248	8543.20137592697	0.173	0.215	0	8644.41200579837	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3.5	Not applicable	8644.41200579837
H0544	020	0	1	01	01	H0544_020_0	8	2022	H0544_020_00	BLUE CROSS OF CALIFORNIA	San Bernardino	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H0544	020	000	3172.117184	1.01170139605169	8543.98178770457	0.173	0.215	0	8570.33783956446	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3.5	Not applicable	8570.33783956446
H1894	008	0	1	01	01	H1894_008_0	9	2022	H1894_008_00	AMERIGROUP WASHINGTON, INC.	King, Kitsap, Pierce, Snohomish, Spokane, Thurston	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H1894	008	000	200.783054	1.04588956113681	7893.41621249157	0.173	0.215	0	8233.2455477628	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	8233.2455477628
H2593	031	0	1	02	01	H2593_031_0	9	2022	H2593_031_00	AMERIGROUP TEXAS, INC.	Bexar, Comal, El Paso, Hays, Travis, Williamson	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H2593	031	000	2924.772727	1.04728355377432	8226.62399408055	0.173	0.215	0	8592.35861954329	25.1	LOW INCOME PREMIUM SUBSIDY AMOUNT	3	Not applicable	8592.35861954329
H2593	040	0	1	01	01	H2593_040_0	6	2022	H2593_040_00	AMERIGROUP TEXAS, INC.	Pima	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H2593	040	000	606.096862	1.04006056158449	7396.8169565196	0.173	0.215	0	7673.03464852958	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	7673.03464852958
H2593	043	0	1	01	01	H2593_043_0	10	2022	H2593_043_00	AMERIGROUP TEXAS, INC.		ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H2593	043	000	504.678798	1.04631868667993	8229.40490155905	0.173	0.215	0	8587.00164744406	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	8587.00164744406
H3240	017	0	1	02	01	H3240_017_0	9	2022	H3240_017_00	AMERIGROUP NEW JERSEY, INC.	Bergen, Burlington, Essex, Hudson, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Union	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H3240	017	000	5176.634721	1.07128433590645	9023.92858057491	0.173	0.215	0	9610.18176131989	37.1	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	9610.18176131989
H3447	033	0	1	01	01	H3447_033_0	11	2022	H3447_033_00	HEALTHKEEPERS, INC.		ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H3447	033	000	1405.458512	1.04626762283797	7606.3632840338	0.173	0.215	0	7936.52345684334	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3.5	Not applicable	7936.52345684334
H3815	033	0	1	01	01	H3815_033_0	5	2022	H3815_033_00	ALIGNMENT HEALTH PLAN	Los Angeles and Orange	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H3815	033	000	912	1.6035186876351	8159.53341578947	0.173	0.215	0	13083.9643146015	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	4	Not applicable	13083.9643146015
H4346	029	0	1	01	01	H4346_029_0	8	2022	H4346_029_00	HMO COLORADO, INC.	Adams, Arapahoe, Boulder, Denver, Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo, Teller, Weld, Broomfield	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H4346	029	000	186.004466	1.04665477064471	7304.90728370167	0.173	0.215	0	7624.62712586785	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	7624.62712586785
H5422	015	0	1	01	01	H5422_015_0	9	2022	H5422_015_00	BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA	Chatham, Clayton, Cobb, De Kalb, Douglas, Fayette, Gwinnett, Henry	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H5422	015	000	283.815503	1.04614152447964	7942.65618851878	0.173	0.215	0	8286.47683915457	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3.5	Not applicable	8286.47683915457
H5746	019	0	1	01	01	H5746_019_0	8	2022	H5746_019_00	AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.	Bernalillo, Sandoval, Santa Fe, Torrance, Valencia	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H5746	019	000	53.52777	1.04630852118335	6854.49825244877	0.173	0.215	0	7152.28528565537	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3	Not applicable	7152.28528565537
H5854	012	0	1	02	01	H5854_012_0	12	2022	H5854_012_00	ANTHEM HEALTH PLANS, INC.	Fairfield, Hartford, Litchfield, Middlesex, New Haven, Tolland	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H5854	012	000	1210.518549	1.05849371648709	8394.03005717637	0.173	0.215	0	8869.00496559788	29.7	LOW INCOME PREMIUM SUBSIDY AMOUNT	4	Not applicable	8869.00496559788
H5943	001	0	1	02	01	H5943_001_0	5	2022	H5943_001_00	SCAN HEALTH PLAN	Riverside, San Bernardino	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H5943	001	000	7750.42903125324	1.0804043420835	8451.52234691456	0.173	0.215	0	9128.07316366455	33.2	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	9128.07316366455
H5943	002	0	1	02	01	H5943_002_0	4	2022	H5943_002_00	SCAN HEALTH PLAN	Los Angeles	ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H5943	002	000	5906.4578134651	1.07238983409143	8957.7381872214	0.173	0.215	0	9603.04641544076	33.2	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	9603.04641544076
H8552	028	0	1	04	01	H8552_028_0	10	2022	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-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H8552	028	000	13726.7442	1.05432874744763	8844.76010931534	0.173	0.215	0	9298.15103801782	33.2	LOW INCOME PREMIUM SUBSIDY AMOUNT	3.5	Not applicable	9298.15103801782
H9525	011	0	1	01	01	H9525_011_0	9	2022	H9525_011_00	COMPCARE HEALTH SERVICES INSURANCE CORPORATION		ESRD SNP	ESRD-2022.1	OMB Approved # 0938-0944	(Expires: 7/31/2023)	H9525	011	000	5397.489204	1.04627794634374	7451.26040437608	0.173	0.215	0	7774.76014758214	0	PREMIUM AMOUNT DISPLAYED IN LINE 5D	3.5	Not applicable	7774.76014758214
