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        <ExplanationTxt>FASB ASC 740 Footnote: Health First Health Plans, Inc. is generally exempt from federal and state income taxes under Section 501(a), as an organization described in Section 501(c)(4), of the Internal Revenue Code and Section 220.13 of the Florida statutes. ASC Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.</ExplanationTxt>
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        <ExplanationTxt>Compensation is paid by Health First, Inc. EIN: 59-3336894 and reimbursed by Health First Health Plans, Inc. Salary and benefit expenses disclosed in part IX is allocated to this entity. The filing organization relied on Health First, Inc. for establishing the top management official's compensation. See core 990, Part VI, Section B, Line 15 for further information regarding the process utilized.</ExplanationTxt>
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        <ExplanationTxt>A copy of the Conflict of Interest policy is provided to all associates, including management, in which they review and electronically attest that they have agreed to the terms noted in the policy on an annual basis. In addition, Senior Leadership and BOD members on an annual basis are required to complete a Conflict of Interest questionnaire prepared and monitored by the Chief Compliance Officer. The questionnaire requires an attestation stating that individual is free of conflicts should they not report anything of concern. These forms are tracked and kept on file. Should a conflict arise, the Chief Compliance Officer investigates the issue and determines a course of action to ensure enforcement of the policy.</ExplanationTxt>
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          <CityNm>Rockledge</CityNm>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
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        <EIN>592109953</EIN>
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        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Health First Health Plans Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <EIN>593315064</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Health First Insurance Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
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        <EIN>453131932</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <EIN>472881690</EIN>
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        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Health First Commercial Plans Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3300 Fiske Blvd</AddressLine1Txt>
          <CityNm>Rockledge</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
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        <EIN>472894653</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>