{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Member Census","SW Census","Key","CBIZ"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":12,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Member Census","index":0,"n_rows":1401,"n_cols":34,"rows_kept":1401,"cut":false,"hidden":false,"merged":[[1,1,1,14],[2,1,2,2],[3,1,3,2],[4,1,4,2],[0,2,0,14],[2,3,2,10],[3,3,3,10],[4,3,4,10],[20,16,20,21],[5,1,5,2],[6,1,6,2],[7,1,7,2],[15,1,16,8],[13,2,13,10],[12,1,12,9],[5,3,5,10],[6,3,6,10],[7,3,7,10],[9,1,10,2]]}
[null,null,"Brokerage House"]
[null,"Group Member Census Standardized Template",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Apache"]
[null,"Group Name:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Cochise"]
[null,"Group Location:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Coconino"]
[null,"County:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Gila"]
[null,"Type of Business:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Graham"]
[null,"NAICS Code:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Greenlee"]
[null,"Requested Effective Date:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"La Paz"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Maricopa"]
[null,"INCLUDE ANCILLARY QUOTE",null,null,"Life:",null,null,null,"Vision:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Mohave"]
[null,null,null,null,"Dental:",null,null,null,"Other:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Navajo"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pima"]
[null,"Size Question: What was the average number of total employees on business days during the preceding calendar year? *",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pinal"]
[null,null,"Blue Cross Blue Shield of Arizona (BCBSAZ) will use your response to this question to determine which products to propose. Employers purchasing BCBSAZ plans will need to certify as to their size and number of employees in the BCBSAZ Group Certification Document. These responses are critical for compliance with various legal requirements. The responses included in the BCBSAZ Group Certification Document will determine the official size classification for an employer and will supersede any different response included in this document.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Santa Cruz"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yavapai"]
[null,"On a typical business day how many employees are eligible for health benefit plan coverage?   ",null,null,null,null,null,null,null,"AZ Eligible: *",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yuma"]
[null,null,null,null,null,null,null,null,null,"Non-AZ Eligible: *"]
[]
[null,"MUST ENTER THE DATE OF BIRTH (DOB) FOR ALL CUSTOMERS (EMPLOYEES, SPOUSES AND CHILDREN) SEEKING COVERAGE."]
[null,"USE THE DROP-DOWNS FOR AVAILABLE ENTRIES. MAKE SURE THE CENSUS HAS NO YELLOW FIELDS BEFORE SUBMITTING. FIELDS WITH * ARE REQUIRED."]
[null,"Who Needs Coverage?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Separating Names"]
[null,"EE\n#","* Relationship","* Member\nLast\nName","* Member\nFirst\nName","* DOB\n(insert slashes)","* Gender","* Member Zip Code","* Employee Medical\nCoverage Type","Current Medical \nPlan Name","Employee Dental Enrollment","COBRA Participant","Salary","Occupation","Comments",null,"Last, First (Input)","Last Name","First Name","First Last (Input)","Last Name","First Name"]
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[null,null,null,null,{"$f":"'Member Census'!C22","v":"* Relationship"},{"$f":"'Member Census'!F22","v":"* DOB\n(insert slashes)"},{"$f":"'Member Census'!I22","v":"* Employee Medical\nCoverage Type"},{"$f":"'Member Census'!J22","v":"Current Medical \nPlan Name"},{"$f":"'Member Census'!G22","v":"* Gender"},null,{"$f":"'Member Census'!H22","v":"* Member Zip Code"},null,{"$f":"'Member Census'!K22","v":"Employee Dental Enrollment"},null,{"$f":"'Member Census'!$D$22","v":"* Member\nLast\nName"},{"$f":"'Member Census'!$E$22","v":"* Member\nFirst\nName"}]
[null,"Group Name:",null,{"$f":"'Member Census'!D3","v":0}]
[null,"Group Number:"]
[null,"Effective Date: ",null,{"$f":"'Member Census'!D8","v":"00:00:00"}]
[null,"NAICS: ",null,{"$f":"'Member Census'!D7","v":0}]
[null,"Rating Area:",null,{"$f":"'Member Census'!D5","v":0}]
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["Spouse","Spouse","Ineligible","Ineligible","Ineligible","Non Eligible"]
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[null,"EE",null,null,null,null,null,null,null,null,null,"S",null,null,null,null,"D",null,null,null,null,"D",null,null,null,null,"D",null,null,null,null,"D",null,null,null,null,"D",null,null,null,null,"D"]
[null,{"$f":"MATCH('Member Census'!E22,CensusRow,FALSE)","v":3},{"$f":"MATCH('Member Census'!D22,CensusRow,FALSE)","v":2},{"$f":"MATCH('Member Census'!G22,CensusRow,FALSE)","v":5},{"$f":"MATCH('Member Census'!F22,CensusRow,FALSE)","v":4},{"$f":"MATCH('Member Census'!H22,CensusRow,FALSE)","v":6},null,null,null,null,{"$f":"MATCH('Member Census'!I22,CensusRow,FALSE)","v":7},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"MATCH('Member Census'!K22,CensusRow,FALSE)","v":9}]
[null,"Employee \nFirst Name","Employee\nLast Name","Employee \nGender","Employee\nDOB","Employee  Zip\nCode","In Wait Period,\nif Yes DOH?","Hours worked\nper week","Enrolled in \nBase Medical Plan (yes or no) ","Enrolled in \nBuy-up Medical Plan (yes or no) ","Indicate Tier enrolled in:\nEE = \nEmployee Only\nES =\n Employee+Spouse\nEC = \nEmployee+Child(ren)\nF = \nFamily","Spouse First Name","Spouse Last Name","Spouse Gender","Spouse\nDOB","Spouse     Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Child                      First Name","Child                      Last Name","Child's\nGender","Child's \nDOB","Child's        Zip\nCode","Waive Coverage?\nReason","COBRA\n (yes or no) \nIf yes, end date"]
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